| NPI | 1245077478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL F WATSON Manager 504-292-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2025-12-23 |