| NPI | 1467235044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIA TEAGUE-PRIDDY Owner 225-529-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-10-04 |