| NPI | 1043882269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN T. FOX CEO 302-213-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-01-04 |