| NPI | 1659776185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN FOSS Director 302-387-3842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 2014606326) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |