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 |