| NPI | 1417439415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESHIA MCGLOTHLIN Owner 318-787-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-06-15 |