| Port In The Storm, Inc | |
|
600 W Division St Dover DE 19904-2702 | |
| (302) 735-7738 | |
| (302) 735-8560 |
| Full Name | Port In The Storm, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 W Division St, Dover, Delaware |
| Authorized Official Name and Position | Kimberly Anne Milligan (VICE PRESIDENT) |
| Authorized Official Contact | 3027357738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port In The Storm, Inc Po Box 77 Dover DE 19903-0077 Ph: (302) 735-7738 | Port In The Storm, Inc 600 W Division St Dover DE 19904-2702 Ph: (302) 735-7738 |
| NPI Number | 1154738763 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154738763 | NPI | - | NPPES |
| 1000021573 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q10000296 (Delaware) | Primary |
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