Organization
TRANSFORMATIVE MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RYALS NP (PMHNP)
(302) 654-7317
Entity
Organization
Contact information
Practice address
1708 LOVERING AVE, WILMINGTON, DE 19806-2141
(000) 000-0000
Mailing address
1708 LOVERING AVE, WILMINGTON, DE 19806-2141
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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