| NPI | 1285049908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA CONNOR Owner 302-635-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: DE B1-0000959) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |