| NPI | 1245660935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLYN ROLANDA WATSON Owner 302-861-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE B1-0000776) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2014-08-01 |