| NPI | 1770234783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RODI VP Of Rcm 302-333-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-07-21 |