| NPI | 1184558702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARIAH HORTON REESE Owner 302-985-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |