NPI | 1689294589 |
---|---|
Entity Type | Organization |
Authorized Contact | NGOZI CHIEKWU Owner/Provider 302-310-7354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-04-21 |
Last Update Date | 2024-02-26 |