| NPI | 1487066619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEFILIPPIS Intensive Case Manager 302-482-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |