| NPI | 1043796337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVANTE' N DORSEY Owner 302-607-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001435) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |