| NPI | 1619858297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI RATLIFF Nurse Practitioner 318-272-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |