| NPI | 1922499698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DICKENS President 337-412-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 13406R) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2016-01-12 |