| NPI | 1487325866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIERDRA ORETADE-BRANCH Owner 302-213-6158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101YM0800X Counselor, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-10-06 |