NPI | 1104498419 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRE HALEY Owner 302-563-8399 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0801X | |
Enumeration Date | 2021-07-15 |
Last Update Date | 2024-05-16 |