| NPI | 1457654493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA C BARNES Licensed Clinical Social Worker 302-934-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000549) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 917) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |