| Aviva Mental Health Services Inc | |
|
219 W 9th St Wilmington DE 19801-1619 | |
| (610) 522-4506 | |
| (610) 522-4508 |
| Full Name | Aviva Mental Health Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 219 W 9th St, Wilmington, Delaware |
| Authorized Official Name and Position | Susmaria Charles (CEO) |
| Authorized Official Contact | 6105224506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviva Mental Health Services Inc 320 Macdade Blvd Ste 205 Darby PA 19023-1926 Ph: (610) 522-4506 | Aviva Mental Health Services Inc 219 W 9th St Wilmington DE 19801-1619 Ph: (610) 522-4506 |
| NPI Number | 1144830738 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144830738 | NPI | - | NPPES |
| 1034994870001 | Medicaid | PA |
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