| NPI | 1518782952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL GACHAHI President 302-465-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |