| NPI | 1790176832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B RIVERS Psychiatric Mental Health Np 318-419-3592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08178) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |