| NPI | 1295236016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN CUSIC Psychotherapist/Owner 302-388-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH13999) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-10-01 |