| Act Team 1 | |
|
1423 Capitol Trail (bldg. 1), Suite 1210 Newark DE 19711 | |
| (302) 894-7900 | |
| (302) 737-1460 |
| Full Name | Act Team 1 |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1423 Capitol Trail (bldg. 1), Suite 1210, Newark, Delaware |
| Authorized Official Name and Position | Jevon Z Hicks (DIRECTOR) |
| Authorized Official Contact | 3023772358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Act Team 1 3821 Lancaster Pike Wilmington DE 19805-1512 Ph: (302) 442-6622 | Act Team 1 1423 Capitol Trail (bldg. 1), Suite 1210 Newark DE 19711 Ph: (302) 894-7900 |
| NPI Number | 1013264415 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 09/04/2020 |
| Certification Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013264415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Delaware) | Primary |
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