| NPI | 1780447102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLATOKUNBO GBADEBO Nurse Practitioner 302-467-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-03-09 |