| NPI | 1245106871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN TIMMONS Chief Of Compliance 302-500-5997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |