| NPI | 1275429532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE SPADACCINI Administrative Partner 302-204-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-06-14 |
| Last Update Date | 2025-08-05 |