| NPI | 1730687872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI G HALLER Nurse Practitioner 337-831-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09559) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |