| NPI | 1194476101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BROOKS Co Owner 501-504-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-03-07 |