| NPI | 1912021858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD K WILLIAMS Director 302-793-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2009-01-15 |