| NPI | 1750258414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEZ AMOUR BASH Partner 302-468-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2025-10-18 |
| Last Update Date | 2025-10-18 |