| NPI | 1649791922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE JUAREZ Therapist 302-235-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE 2017603208) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |