| NPI | 1265326870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANI GORIO BOOTH Psychiatric Nurse Practitioner 985-507-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |