| NPI | 1548539497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELLEN DIDDEN Licensed Clinical Social Worker 302-231-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DE Q1-0000683) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |