| NPI | 1881671725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN QUINN Practice Manager 302-478-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA MD023723E) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: DE C1-0005516) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-02-20 |