| NPI | 1205230687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANGA RAM CEO 302-762-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2015-03-20 |