| NPI | 1790344901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A. MANNINO President 302-322-2743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |