NPI | 1205578572 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH GICHEMA Owner 302-252-8498 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2022-04-08 |
Last Update Date | 2024-03-13 |