| NPI | 1881933505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE GIRARDJ JONES Executive Director 302-542-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE PC-0000625) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: DE CD-0000050) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |