| NPI | 1851957765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HAMPTON Manager 302-513-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |