| NPI | 1922475227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILLON HARRIS HART President/Owner 318-458-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2015-08-22 |
| Last Update Date | 2023-10-05 |