| NPI | 1164887683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP KUMAR GUPTA Owner 302-478-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: DE C-1 0007149) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |