NPI 1952891368

Connections

Organisation Substance Abuse Rehabilitation Facility Wilmington, DE

Practice location

Address: 1120 Brandywine St, Wilmington, DE 19802-5219
Phone: (302) 384-8167
Fax: (302) 502-3102
Mailing address: 405 Stanley Plaza Blvd, Newark, DE 19713-2983

Authorised official

Name: Jessica Lynn Stewart
Title: Counselor, Cadc
Phone: (302) 438-6641

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Delaware →

Registry record

NPI: 1952891368
Entity type: Organization
NPI issued: 11 May 2018
Record last updated: 11 May 2018

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.