| NPI | 1972147569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONYETTA ALICE CROSS Mental Health Therapist 302-601-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-07 |