| NPI | 1720132798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN MALLOY Owner 302-424-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: 1999200113) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-16 |