| NPI | 1043828718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PATRICIA MCDONNAUGH Ap RN, Fnp, Pmhnp 302-354-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-05-24 |