| NPI | 1275270936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER HASTINGS CEO Owner 302-339-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2023-03-15 |