| NPI | 1508464819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI DISABATINO Chief Executive Officer 302-218-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |