NPI | 1326676479 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN AJALA Family Nurse Practitioner/ Pmhnp 337-739-2058 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QP2300X Clinic/Center, Primary Care | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2021-07-14 |