| NPI | 1245853480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALCHEMY GREEN Founding CEO, Owner 302-397-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-10-21 |