| NPI | 1902356025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONTE G WILSON Owner/Clinician 302-399-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0000548) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-06-22 |