| NPI | 1205918380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCCORMICK Authorized Representative 302-855-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10854) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-04-03 |