| NPI | 1548930571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL ANTHONY COOPER Owner 478-227-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-09-10 |