| NPI | 1104180751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C. JOHNSON L.C.S.W. Therapist 302-893-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001156) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |