| NPI | 1578396529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIALEE ROY Director 302-540-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163W00000X Registered Nurse | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2024-08-24 |
| Last Update Date | 2024-08-24 |