| NPI | 1518797729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY NORRIS Owner/Provider 318-704-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-09-04 |