| Gerizim Psychiatric Care Llc | |
|
729 Ellen Dr Bear DE 19701-5801 | |
| (302) 981-2529 | |
| Not Available |
| Full Name | Gerizim Psychiatric Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 729 Ellen Dr, Bear, Delaware |
| Authorized Official Name and Position | Delphine Fombi-ndifor (OWNER) |
| Authorized Official Contact | 3029812529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerizim Psychiatric Care Llc 729 Ellen Dr Bear DE 19701-5801 Ph: (302) 981-2529 | Gerizim Psychiatric Care Llc 729 Ellen Dr Bear DE 19701-5801 Ph: (302) 981-2529 |
| NPI Number | 1093412983 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093412983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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