NPI | 1871333559 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL GARLAND Ap RN 302-404-0130 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |