| NPI | 1326312885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ROSEBAUM Admin Biller 302-224-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 302R00000X Health Maintenance Organization | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2021-05-25 |