| NPI | 1396599734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEANNE STANLEY Owner 302-423-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |