Brandywine Counseling & Community Services, Inc. | |
2713 Lancaster Ave Wilmington DE 19805-5220 | |
(302) 225-9267 | |
(302) 655-8920 |
Full Name | Brandywine Counseling & Community Services, Inc. |
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Speciality | Clinic/Center |
Location | 2713 Lancaster Ave, Wilmington, Delaware |
Authorized Official Name and Position | Lynn M Fahey (CEO) |
Authorized Official Contact | 3022259269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brandywine Counseling & Community Services, Inc. 2713 Lancaster Ave Wilmington DE 19805-5220 Ph: (302) 225-9267 | Brandywine Counseling & Community Services, Inc. 2713 Lancaster Ave Wilmington DE 19805-5220 Ph: (302) 225-9267 |
NPI Number | 1346320983 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 09/27/2022 |
Medicare PECOS PAC ID | 9830291251 |
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Medicare Enrollment ID | O20210108001440 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346320983 | NPI | - | NPPES |
0000884757 | Medicaid | DE | |
1000024022 | Medicaid | DE | |
0000047051 | Medicaid | DE |
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