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 |