| NPI | 1821989856 |
|---|---|
| Other Name | INSTITUTE FOR COMMUNITY MENTAL HEALTH-CLINIC |
| Entity Type | Organization |
| Authorized Contact | JED CASTELLUCCI Chief Clinical Operating Officer 302-831-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-09-23 |