NPI | 1033722046 |
---|---|
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) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |