| NPI | 1891842795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RICHARD LEVINE Clinical Director 302-477-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |