NPI | 1376222901 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY CAROL EDO Business Owner 225-256-4764 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-12 |
Last Update Date | 2024-11-13 |