| NPI | 1942672720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD Manager 337-991-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-11-05 |