| NPI | 1780558239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JONES Director Of Opt 302-443-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |