Organization
INSPIRE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINE S. OTT CRNP (OWNER)
(267) 563-8180
Entity
Organization
Contact information
Practice address
1288 VALLEY FORGE RD, UNIT 54, PHOENIXVILLE, PA 19460
(267) 563-8180
(484) 848-5195
Mailing address
36 FAIRWAY DRIVE, SOUTHERN SHORES, NC 27949
(215) 817-5055
(484) 848-5195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
06/07/2023
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