NPI | 1346320983 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN M FAHEY CEO 302-225-9269 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
207Q00000X Family Medicine | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2022-09-27 |