| NPI | 1790323095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA M CZUDEK Ap RN, Pmhnp Bc 318-704-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |