| NPI | 1457112849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINE M. DARTY CEO/ Provider 318-455-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |