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General NPI Number Information
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NPI Number | 1912850504
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Entity Type | Organization
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Legal Business Name | RESTORATIVE ROOTS INTEGRATIVE PSYCHIATRY
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 276 S COLLEGE AVE
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City | NEWARK
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State | DE
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Zip | 19711-5235
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Country | US
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Telephone | 302-303-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 3640 CONCORD PIKE # 1025
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City | WILMINGTON
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State | DE
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Zip | 19803-5022
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Country | US
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Telephone | 302-303-4555
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KEVIN BROWN
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Credential | CRNP, PMHNP
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Telephone | 302-303-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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