| NPI | 1285431403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AEISHA FOBB Owner / Authorized Official 225-623-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |