| NPI | 1821540220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALENA QUEEN Owner/Chief& Clinical Administrator 302-723-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-001424) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-02-28 |