| NPI | 1780766873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ROGERS Authorized Representative 302-855-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10481) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |