| NPI | 1609075266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE AZARCON President 302-478-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C10006767) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-19 |