| NPI | 1639395502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY STOGLIN Owner 318-322-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: LA RN048404 AP02772) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-06-27 |