NPI 1205372059

Gail

Organisation Community/Behavioral Health Agency Dover, DE

Practice location

Address: 278 Wilmas Way, Dover, DE 19901-5538
Phone: (302) 604-3906

Authorised official

Name: Gail Marie Clark
Title: Owner
Phone: (302) 604-3906

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence PC-0000366 (DE)

Other Community/Behavioral Health providers in Delaware →

Registry record

NPI: 1205372059
Entity type: Organization
NPI issued: 17 Jan 2017
Record last updated: 17 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.