| NPI | 1275131104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI A PATTERSON Director Of Billing 302-999-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2023-08-10 |