| NPI | 1598152597 | 
|---|---|
| Doing Business As | ACT TEAM 4 | 
| Entity Type | Organization | 
| Authorized Contact | JEVON Z HICKS Director 302-377-2358  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2015-04-17 | 
| Last Update Date | 2020-11-30 |