| NPI | 1922816768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JAMES TYREE Owner 302-559-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-07-23 |