| NPI | 1154291995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN COTTER Director 833-944-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208M00000X Hospitalist | |
| 2251C2600X | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |