| NPI | 1811970668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARON KLINE Administrative Assistant 302-856-1835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2022-06-27 |