| NPI | 1134053481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ALEXANDER WEDMAN Mental Health Counselor 302-455-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |