NPI | 1437849049 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNA BLACKWELL Owner 302-591-9179 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-05-09 |
Last Update Date | 2024-06-12 |