| NPI | 1649681917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2017-11-15 |