| NPI | 1033092903 |
|---|---|
| Doing Business As | CROWNE INITIATIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | EDNORA B MASON Board Member 757-342-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |