| NPI | 1245931948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDT EMORY Principal 302-543-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-04-17 |