Provider Demographics
NPI:1043012743
Name:A PEACEFUL PLACE INTEGRATED CARE
Entity type:Organization
Organization Name:A PEACEFUL PLACE INTEGRATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR-DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:302-264-9436
Mailing Address - Street 1:1001 S BRADFORD ST STE 7
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4153
Mailing Address - Country:US
Mailing Address - Phone:302-264-9436
Mailing Address - Fax:302-264-9702
Practice Address - Street 1:1001 S BRADFORD ST STE 7
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4153
Practice Address - Country:US
Practice Address - Phone:302-264-9436
Practice Address - Fax:302-264-9702
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A PEACEFUL PLACE INTEGRATED CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)