| NPI | 1760296529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA R WATERS Lcsw 302-396-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |