NPI | 1366237745 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN MARIE TUETE Managing Partner 302-312-5177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-04-14 |