| NPI | 1861721854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KALKSTEIN President 302-478-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA MD023723E) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |