| NPI | 1821144106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ROLFES CEO 302-995-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000439) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000219) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000318) | |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000526) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |