NPI | 1790161685 |
---|---|
Entity Type | Organization |
Authorized Contact | HAZEL TAYLOR SMITH Nurse Practitioner 318-347-8566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA RN038372-AP01083) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2015-08-03 |