| NPI | 1275622839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON B JACOBS Director 302-428-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE 1989028825) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE 1989028825) |
| 104100000X Social Worker (Licence: DE 1989028825) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-12-20 |