NPI | 1053732883 |
---|---|
Entity Type | Organization |
Authorized Contact | TARESA PITTMAN Owner/Nurse Practitioner 302-365-0384 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: DE L8-0000124) |
Enumeration Date | 2013-12-20 |
Last Update Date | 2013-12-20 |