| NPI | 1316186539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A LEIDY Owner 302-674-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 364S00000X Clinical Nurse Specialist | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2016-02-09 |