NPI | 1912213844 |
---|---|
Entity Type | Organization |
Authorized Contact | ALTON DAMION WILLIAMS President 302-439-4951 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
251S00000X | |
Enumeration Date | 2010-08-30 |
Last Update Date | 2014-02-17 |