| NPI | 1699200873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEET JOSHI Authorized Official 302-983-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE c1-0011584) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-03-31 |