| NPI | 1548564644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J MANUEL Np/Owner 337-322-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-08-13 |