| NPI | 1477396000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE GILLYARD THOMAS Owner/CEO 318-231-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |