| NPI | 1225504962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH JORDAN BOWERS Owner/Provider 337-247-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2024-10-31 |