| NPI | 1912213844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON DAMION WILLIAMS President 302-439-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2014-02-17 |