| NPI | 1083322069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZZMYN MOLSON Therapist 302-867-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |