| NPI | 1558512319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA MARIE O'DONNELL Owner 302-998-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 2002100933) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2013-01-23 |