| NPI | 1609248376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALEXANDER DECLOUET Nurse Practitioner 337-280-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: LA AP08470) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2016-06-08 |