| NPI | 1942350145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. ROY CANNON Chief Operating Officer 302-738-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DE 20547) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 122) |
| 101YM0800X Counselor, Mental Health (Licence: DE PC-0000008) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |