NPI | 1992359848 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD GENE FRIZZELL Sole Member 337-781-0390 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-08-08 |