| NPI | 1861820318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P EDGAR Chief Financial Officer 302-545-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-10-19 |
| Last Update Date | 2018-05-31 |