| Port In The Storm | |
|
600 W Division St Dover DE 19904-2702 | |
| (302) 735-7738 | |
| Not Available |
| Full Name | Port In The Storm |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 600 W Division St, Dover, Delaware |
| Authorized Official Name and Position | Sandra Dyer (DIRECTOR) |
| Authorized Official Contact | 3027357738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port In The Storm 600 W Division St Dover DE 19904-2702 Ph: (302) 735-7738 | Port In The Storm 600 W Division St Dover DE 19904-2702 Ph: (302) 735-7738 |
| NPI Number | 1639548852 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639548852 | NPI | - | NPPES |
| 1000021573 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1912238536 (Delaware) | Primary |
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