| NPI | 1497402481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH WILSON Chief Financial Officer 302-399-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |