| NPI | 1437957347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY EVE LONGSON Owner 302-603-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-04-01 |