| Clint Walker Group Home | |
|
676 Black Diamond Rd Smyrna DE 19977-9670 | |
| (302) 389-1118 | |
| (302) 389-1121 |
| Full Name | Clint Walker Group Home |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 676 Black Diamond Rd, Smyrna, 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 |
|---|---|
| Clint Walker Group Home 3821 Lancaster Pike Wilmington DE 19805-1512 Ph: (302) 442-6622 | Clint Walker Group Home 676 Black Diamond Rd Smyrna DE 19977-9670 Ph: (302) 389-1118 |
| NPI Number | 1811424583 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811424583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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