| NPI | 1831389741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E BRAMLET Vice President 337-991-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04893) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |