| NPI | 1205442688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAURABH GUPTA Owner 302-478-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |