| NPI | 1558405423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MACK-BOWMAN Cscrp Education Specialist 302-735-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |