| NPI | 1215534318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA STANFORD-DANIELS Director 302-401-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 3416A0800X Ambulance, Air Transport | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374K00000X Religious Nonmedical Practitioner | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2022-09-13 |