| NPI | 1679111504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE HOPKINS Owner 276-598-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-08-04 |