NPI | 1235725623 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN COREY Provider 302-644-4606 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
101Y00000X Counselor | |
104100000X Social Worker | |
Enumeration Date | 2020-12-18 |
Last Update Date | 2022-12-21 |