| NPI | 1245074236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA LEE CHAMBERS Manager/Provider 337-354-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-07-25 |