| NPI | 1508467069 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JILLIAN SPENCE PARENTE WHITE Mental Health Therapist 302-392-6329  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2020-11-02 | 
| Last Update Date | 2020-11-02 |