| NPI | 1568810430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS FAGBAMI President 302-983-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-12-09 |