| Haven De Llc | |
|
523 Capitol Trl Newark DE 19711-3859 | |
| (302) 562-4960 | |
| Not Available |
| Full Name | Haven De Llc |
|---|---|
| Speciality | Counselor |
| Location | 523 Capitol Trl, Newark, Delaware |
| Authorized Official Name and Position | Shirley Ann Brown (OWNER) |
| Authorized Official Contact | 3025624960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven De Llc 523 Capitol Trl Newark DE 19711-3859 Ph: (302) 562-4960 | Haven De Llc 523 Capitol Trl Newark DE 19711-3859 Ph: (302) 562-4960 |
| NPI Number | 1497114821 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Medicare PECOS PAC ID | 5193178390 |
|---|---|
| Medicare Enrollment ID | O20240124001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497114821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC0000645 (Delaware) | Primary |
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