| NPI | 1619703337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERSHOM SOIRE Owner 302-747-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |