NPI | 1326828401 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA ROBERTSON Owner 302-236-4694 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-10-04 |
Last Update Date | 2024-01-30 |