NPI | 1871091066 |
---|---|
Entity Type | Organization |
Authorized Contact | KIARA MOORE Owner 302-464-6075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE 0000829) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2021-07-14 |