| NPI | 1992921860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCETTA GIBSON Owner 318-322-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: LA RN036503 AP01392) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-05-20 |