| NPI | 1770148157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNELLE BIRTHWRIGHT Clinical Social Worker 302-365-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-09-11 |