| NPI | 1932696283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOLCAR CEO 302-689-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE 2018603166) |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2018-06-19 |