NPI | 1164002192 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA SIMPKINS Senior Staff Accountant 302-966-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
Enumeration Date | 2021-04-13 |
Last Update Date | 2021-04-13 |