| 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 |