| NPI | 1902771983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEL MITIKU Nurse Practitioner 302-375-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-12-09 |