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