| NPI | 1609644343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANA THOMPSON Nurse Practitioner 302-219-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |