NPI | 1154386696 |
---|---|
Doing Business As | SOAR |
Entity Type | Organization |
Authorized Contact | VALERIE C MAREK Executive Director 302-655-3953 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: DE 1993102532) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE 1993102532) |
1041C0700X Social Worker, Clinical (Licence: DE 1993102532) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-08-22 |