| NPI | 1326810078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA AZEFOR President 302-602-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2026-05-03 |