| NPI | 1598039794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT R HASTY CEO/President 302-464-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 103TP2701X) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |