| NPI | 1669364287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA TATTERSALL-COCKE Owner 210-840-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-08-20 |