| NPI | 1417349457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA GAUTREAUX President 225-333-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 06792) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2022-04-18 |