| 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 |