NPI | 1629768072 |
---|---|
Other Name | DEEPLY ROOTED PSYCH |
Entity Type | Organization |
Authorized Contact | CRATISSA SCHLEY Owner 302-433-9906 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-05-09 |