| NPI | 1992017479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY STANFORD WHY Psychiatric/Mental Health Nurse Pra 302-502-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000104) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2016-05-24 |