Organization Name: | DELMARVA COUNSELING CENTER LLC |
NPI Number: | 1194171389 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEATRICE HAMILTON (CEO) |
Mailing Address: | 28 E State St Delmar |
State: | MD US |
Postal Code: | 218751601 |
Phone Number: | 4108963995 |
Fax Number: | 4108962825 |
NPI Enumeration Date: | 05/06/2016 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |