| NPI | 1619291663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEROME THORNSBERRY President 302-858-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE Q1-0000975) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2013-02-19 |