| NPI | 1053907964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L BROSIOUS Workforce Initiatives Manager 302-504-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2021-03-08 |