| NPI | 1285238154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BUFFORD Office Manager 337-965-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |