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3301 Green St Claymont DE 19703-2052 | |
| (302) 307-1300 | |
| (302) 384-7508 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3301 Green St, Claymont, Delaware |
| Authorized Official Name and Position | Michael Coyle (DIRECTOR OF ACCOUNTING & FINANCE) |
| Authorized Official Contact | 6102399600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | 3301 Green St Claymont DE 19703-2052 Ph: (302) 307-1300 |
| NPI Number | 1942732268 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942732268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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