| NPI | 1316732589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOBEY WESLEY Substance Abuse Counselor 302-609-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |