| NPI | 1174358352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOLA RITA USUAH Fnp, Pmhnp 302-339-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-16 |