| NPI | 1063659977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CRUZ Psychotherapist 302-655-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 103TP2701x) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |