| NPI | 1407309081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BISHOP Director Of Operations 302-242-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 100973) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 100973) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2017-02-01 |