| Cardinal Avenue Group Home | |
|
722 Cardinal Ave Bear DE 19701-1104 | |
| (302) 221-6860 | |
| (302) 221-6863 |
| Full Name | Cardinal Avenue Group Home |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 722 Cardinal Ave, Bear, Delaware |
| Authorized Official Name and Position | Catherine Devaney Mckay (PRESIDENT AND CEO) |
| Authorized Official Contact | 3022309103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Avenue Group Home 3821 Lancaster Pike Wilmington DE 19805-1512 Ph: (302) 442-6622 | Cardinal Avenue Group Home 722 Cardinal Ave Bear DE 19701-1104 Ph: (302) 221-6860 |
| NPI Number | 1669610499 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669610499 | NPI | - | NPPES |
| 2253 | Other | DE | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2253 (Delaware) | Primary |
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