| NPI | 1699822296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DENISE MAYS Nurse Practitioner 318-251-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 64413-3033) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |