| A Center For Mental Wellness Community Support Programs, Llc | |
|
121 W Loockerman St Dover DE 19904-7325 | |
| (302) 674-1397 | |
| (302) 674-1602 |
| Full Name | A Center For Mental Wellness Community Support Programs, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 121 W Loockerman St, Dover, Delaware |
| Authorized Official Name and Position | Lauren Elizabeth Tinsley (MANAGING MEMBER) |
| Authorized Official Contact | 3026741397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Center For Mental Wellness Community Support Programs, Llc 121 W Loockerman St Dover DE 19904-7325 Ph: (302) 674-1397 | A Center For Mental Wellness Community Support Programs, Llc 121 W Loockerman St Dover DE 19904-7325 Ph: (302) 674-1397 |
| NPI Number | 1427528678 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427528678 | NPI | - | NPPES |
| 1639325822 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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