| NPI | 1417897794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN P GORHAM Sole Member / Owner 337-244-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-03-30 |