NPI | 1457860215 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN TINSLEY President 302-674-1397 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2017-09-25 |
Last Update Date | 2022-07-21 |