| NPI | 1932543410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JUDIE RILEY Provider 302-383-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017590) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2024-01-03 |