| NPI | 1003386707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHRISTINE GOODNIGHT-HALVERSON Therapist 302-270-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-01-12 |