| NPI | 1003693342 |
|---|---|
| Doing Business As | OWNER |
| Entity Type | Organization |
| Authorized Contact | JANICE HARE Owner 302-470-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |