| NPI | 1497307177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA BRAMBLE Executive Director Of Operations 302-475-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |