NPI | 1699585083 |
---|---|
Entity Type | Organization |
Authorized Contact | TENIKA TROTTER Owner & Medical Director 252-676-0475 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-01-08 |
Last Update Date | 2025-01-08 |