| NPI | 1073218442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABU ABDULLAH SARGEANT COO 302-510-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-06-22 |