| NPI | 1467831461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DORMAN Clinical Therapist 302-528-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17894) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |