| NPI | 1689147605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENESHIA TIFFANY WINDER Dr. 302-349-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-05 |