NPI | 1710585021 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI A PATTERSON Director Of Billing 302-999-1106 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-10-09 |
Last Update Date | 2023-08-10 |