| NPI | 1841586732 |
|---|---|
| Doing Business As | CCHS WELLNESS CTR CAB COLLOWAY CHARTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS L CORRIGAN CFO 302-623-7203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |