| NPI | 1174362404 |
|---|---|
| Doing Business As | CCPA PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-623-7362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |