| NPI | 1396394797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BRISTER Fnp Bc, Pmhnp Bc 318-715-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-26 |