| NPI | 1962909499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCOTT LINEFSKY CEO/Clinical Director 302-313-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001143) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-07-03 |