| NPI | 1295273837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDERELLA MARIE BROUSSARD Owner 337-886-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09099) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-01-11 |