| NPI | 1871473132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALPRESIOUS HAM Operations Director 302-327-9215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |