Wraparound Delaware Llc | |
105a Rogers Rd Wilmington DE 19801-5767 | |
(302) 504-8487 | |
(302) 654-1484 |
Full Name | Wraparound Delaware Llc |
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Speciality | Community/behavioral Health |
Location | 105a Rogers Rd, Wilmington, Delaware |
Authorized Official Name and Position | Kimberly Cooke (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4106034102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wraparound Delaware Llc 105a Rogers Rd Wilmington DE 19801-5767 Ph: (302) 504-8487 | Wraparound Delaware Llc 105a Rogers Rd Wilmington DE 19801-5767 Ph: (302) 504-8487 |
NPI Number | 1770978595 |
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Provider Enumeration Date | 03/30/2015 |
Last Update Date | 03/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770978595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | Q1-0001139 (Delaware) | Primary |
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