| NPI | 1518129345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-11-15 |