| NPI | 1275050296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAMES CASAGRANDE Owner/Private Practitioner 302-239-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0000611) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |