| NPI | 1265970859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWIYAH WHITTINGTON CEO 302-252-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 302R00000X Health Maintenance Organization | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |