| NPI | 1962921213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA MEDLEY Licensed Behavior Specialist 302-494-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH002126) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2019-08-19 |