NPI | 1487365854 |
---|---|
Doing Business As | KENT BRIDGE CLINIC |
Entity Type | Organization |
Authorized Contact | FRANCES R MARTI Deputy Director 302-803-2527 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-12-07 |
Last Update Date | 2023-07-13 |