| NPI | 1487533394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA SIANO Executive Director 302-465-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |