| NPI | 1194408906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLASUMBO T. AFILAKA Nurse Practitioner 302-981-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-09-23 |