| NPI | 1992592570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLIN JAY ALEXANDER Chief Finance Officer 302-723-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |