| NPI | 1770808578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON President 302-552-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: DE 71788) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2024-03-28 |