NPI | 1790472124 |
---|---|
Doing Business As | OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | MORGAN WEBB Owner/Pmhnp Bc 302-242-5463 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-05-10 |