NPI | 1245646843 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY LACOUTURE Owner 979-739-1724 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07692) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |