NPI | 1790542595 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUISE NYAMBATI Owner 302-256-3590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2024-02-28 |
Last Update Date | 2025-07-31 |