| NPI | 1154074714 |
|---|---|
| Doing Business As | GOODWELLNESS |
| Entity Type | Organization |
| Authorized Contact | TINA GROSSMAN Owner 302-540-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-16 |