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 | 2024-09-27 |