NPI | 1295352540 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY SAMPY THIBODEAUX CEO 337-520-2587 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-07-02 |
Last Update Date | 2023-10-15 |