| 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 |