NPI | 1023177714 |
---|---|
Doing Business As | CAMDEN WEST GROUP HOME |
Entity Type | Organization |
Authorized Contact | JEVON Z HICKS Director 302-377-2358 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE 1516) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-09-14 |