| NPI | 1205207800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN FOSS CEO/Clinician 302-244-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DE 2015606572) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2021-04-30 |