| NPI | 1134907314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE HIGGIN Administrator 302-668-8089 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |