| NPI | 1558786822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2017-11-15 |