| 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 |