| NPI | 1992863583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAIGE Executive Director 302-368-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: DE 1243) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |