| Trinity Iii Family Outreach | |
|
108 Spruance Rd Dover DE 19901-4051 | |
| (804) 931-8910 | |
| (804) 931-8910 |
| Full Name | Trinity Iii Family Outreach |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Spruance Rd, Dover, Delaware |
| Authorized Official Name and Position | Cary Richard Fox (PRESIDENT) |
| Authorized Official Contact | 8049318910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Iii Family Outreach 1501 Little Gloucester Rd Apt F2 Blackwood NJ 08012-3445 Ph: (804) 931-5910 | Trinity Iii Family Outreach 108 Spruance Rd Dover DE 19901-4051 Ph: (804) 931-8910 |
| NPI Number | 1508005885 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508005885 | NPI | - | NPPES |
| 8301206 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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