| NPI | 1811458573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN N. IKONNE Executive Director 302-317-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-06-22 |