| Psychotherapeutic Community Services, Inc | |
|
630 W Division St Suite F Dover DE 19904-2760 | |
| (302) 674-3366 | |
| (302) 674-3360 |
| Full Name | Psychotherapeutic Community Services, Inc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 630 W Division St, Dover, Delaware |
| Authorized Official Name and Position | Randall Cooper (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Community Services, Inc Po Box 690 Suite I Chestertown MD 21620-0690 Ph: (410) 778-9114 | Psychotherapeutic Community Services, Inc 630 W Division St Suite F Dover DE 19904-2760 Ph: (302) 674-3366 |
| NPI Number | 1427083583 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427083583 | NPI | - | NPPES |
| 0000930161 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 103TP2701X (Delaware) | Primary |
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