NPI | 1710220066 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MAXWELL GALE Owner; Sole Propieter 302-233-4178 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC0000356) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE 0000356) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2013-04-04 |