| NPI | 1558662346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANGA NATHAN RAM Medical Director 302-752-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE c1-0007013) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |