| NPI | 1831691823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA SURRATT Director 302-542-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE LE-0000172) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-05-31 |