| NPI | 1952906380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY T MADDREY Owner/ Operator 302-501-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-01-11 |