| NPI | 1972147205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE PORCHE Primary Provider 337-573-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-08-28 |