| NPI | 1659103687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M MORIANGO Pmhnp 302-444-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |