| NPI | 1801487046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA DANIEL CEO/Provider 302-264-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2024-05-29 |