| NPI | 1821987934 |
|---|---|
| Doing Business As | INITIA NOVA DELAWARE |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM DOUGHERTY Medical Director 302-256-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |