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Individual

MS. NIYHOSI WILSON-BUTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SOBER LIVING PROGRAM

Contact information

Practice address
222 E 30TH ST, WILMINGTON, DE 19802-3206
(302) 377-4910
Mailing address
222 E 30TH ST, WILMINGTON, DE 19802-3206
(302) 377-4910

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
10/12/2020
Last updated
10/12/2020
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