| NPI | 1831079086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA REYNOLDS Executive Director 302-275-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-06 |