| 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 |