| NPI | 1366810392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SHEA Chief Financial Officer 302-365-8050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2666) |
| Additional Taxonomies | 251S00000X (Licence: VA 0701006290) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2017-08-18 |