| NPI | 1245752765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE GORALSKI EVANS Owner 302-562-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE PC-0000098) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |