| NPI | 1710866181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA EVANS Managing Member 318-572-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |