| NPI | 1720646508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN COPENHAVER Owner 906-286-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2020-04-17 |