| NPI | 1679753578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PATRICK CARNEY Director 302-425-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: DE B1-0000662) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |