| NPI | 1952073926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLIN SHORTS Professional Counselor 302-494-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |