| NPI | 1487130159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA LLOYD Owner 302-279-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000769) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |