| NPI | 1952708778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONMOY SHARMA CEO 302-454-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-11-05 |