| NPI | 1477330066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PALEKAR Owner/Provider 302-213-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2025-11-12 |