| NPI | 1477060515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDIE M SNYDER Owner 985-226-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09583) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2021-11-18 |