NPI | 1609008788 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSALIE E. RICHARD President 318-607-4665 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04081) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2009-08-21 |