| NPI | 1205583515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI L CLARK Owner/Provider 302-744-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2025-02-21 |