| Dtac Of Delaware Llc | |
|
9 E Loockerman St Dover DE 19901-8306 | |
| (302) 734-2700 | |
| Not Available |
| Full Name | Dtac Of Delaware Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 E Loockerman St, Dover, Delaware |
| Authorized Official Name and Position | Brook Leah Reichenbach (ADMINISTRATIVE SPECIALIST) |
| Authorized Official Contact | 5705249986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtac Of Delaware Llc 1950 Rutgers University Blvd Ste 201 Lakewood NJ 08701-4537 Ph: () - | Dtac Of Delaware Llc 9 E Loockerman St Dover DE 19901-8306 Ph: (302) 734-2700 |
| NPI Number | 1649815887 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649815887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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