| NPI | 1518272129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDEE CARMAN Office Manager 318-221-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 10227R) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: LA 10227R) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |