NPI 1366999310

Psi Acist Program

Organisation Community/Behavioral Health Agency Dover, DE

Practice location

Address: 983 Forest St, Dover, DE 19904-3447
Phone: (302) 480-9590
Fax: (302) 480-9591

Authorised official

Name: Marcia Lynn Clendaniel
Title: Billing Manager
Phone: (410) 810-2465

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1990037507 (DE)

Other Community/Behavioral Health providers in Delaware →

Registry record

NPI: 1366999310
Entity type: Organization
NPI issued: 7 Sep 2016
Record last updated: 2 May 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.