| NPI | 1164879276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN DELGUIDICE Executive Director 754-366-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-08-05 |