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Organization
SUN BEHAVIORAL DELAWARE, LLC
Active
Organization
SUN BEHAVIORAL DELAWARE, LLC
Active
Other names
SUN Behavioral Delaware
Organization subpart
No
Provider details
NPI number
Authorized official
TOM ROURKE (SVP CORPORATE DEVELOPMENT)
(972) 467-4461
Entity
Organization
Contact information
Practice address
21655 BIDEN AVE, GEORGETOWN, DE 19947-4573
(302) 604-5600
(302) 450-1262
Mailing address
12 BROAD ST STE 403, RED BANK, NJ 07701-1938
(972) 467-4461
(732) 747-1818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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