| Pamela Davis | |
|
5610 Kirkwood Hwy Wilmington DE 19808-5004 | |
| (302) 660-2282 | |
| (302) 660-7042 |
| Full Name | Pamela Davis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5610 Kirkwood Hwy, Wilmington, Delaware |
| Authorized Official Name and Position | Pamela Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3026602282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Davis 1407 Saint Elizabeth St Suite B Wilmington DE 19805-4570 Ph: (302) 660-2282 | Pamela Davis 5610 Kirkwood Hwy Wilmington DE 19808-5004 Ph: (302) 660-2282 |
| NPI Number | 1326489451 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326489451 | NPI | - | NPPES |
| 221487394 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | Q100011008 (Delaware) | Primary |
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