| NPI | 1588302483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI KRISTINE HOLLINGER Owner 985-640-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2022-06-27 |