| NPI | 1942833207 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MEREDITH EASTBURN HOLMES Outpatient Therapist 302-383-2195 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2020-02-14 | 
| Last Update Date | 2020-02-14 |