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 |