NPI | 1477396000 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE GILLYARD THOMAS Owner/CEO 318-231-1127 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2024-06-12 |
Last Update Date | 2025-08-29 |