| NPI | 1659667301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY COOK-PERRY Np 225-281-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP0441) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |