| NPI | 1487225462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA PORE'E Owner 302-442-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-12-08 |