NPI | 1881060317 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH VERRET COLLINS Owner 337-212-1746 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08493) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2020-04-27 |