| NPI | 1801373253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMA M NDI CEO 302-310-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000142) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE LG-0000698) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-10-15 |