| NPI | 1699145854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VANDER VEN President 302-382-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-04-14 |