NPI | 1316513559 |
---|---|
Entity Type | Organization |
Authorized Contact | TONYA GREENE STELLY Nurse Practitioner 225-773-0942 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-05-28 |
Last Update Date | 2021-09-25 |