| NPI | 1235451568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE C BROUSSARD Owner 337-330-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA RN094687-AP06057) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2016-01-28 |