| NPI | 1710246897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KELLY REPKA Therapist 302-598-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 5146698) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |