| NPI | 1689318206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA DUHON Credentialing Manager 337-422-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-01-25 |