| NPI | 1548760960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEETRA MCCLAINE JOSEY Medical Director 302-298-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2021-02-19 |