| NPI | 1952709974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HATTON Owner/Manager 302-518-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: DE 2014606762) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2016-09-21 |