| 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 |