NPI | 1710325956 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRE B STEWART President 225-806-1956 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA rn095097) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2013-06-10 |