| NPI | 1588494819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONI BECKER Vice President/Treasurer 302-271-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-19 |