Organization
A PEACEFUL PLACE INTEGRATED CARE
Active
Organization
A PEACEFUL PLACE INTEGRATED CARE
Active
Other names
A Peaceful Place Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA DANIEL APRN (CEO/PROVIDER)
(302) 264-9436
Entity
Organization
Contact information
Practice address
1001 S BRADFORD ST STE 7, DOVER, DE 19904-4153
(302) 264-9436
(302) 264-9702
Mailing address
1211 PONDEROSA DR, MAGNOLIA, DE 19962
(302) 222-3136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992186142
—
DE
01
—
LG-0000855
STATES LICENSE
DE
Enumeration date
01/31/2021
Last updated
05/29/2024
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