| NPI | 1356007637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS BOURGEOIS Owner President 337-889-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |