| NPI | 1659733236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LACOUTURE Owner/Family Psychiatric Np 979-739-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2020-10-07 |