| NPI | 1821563297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KHOURY CFO 302-757-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2025-03-13 |