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Organization
STATE OF DELAWARE DSCYF
Active
Organization
STATE OF DELAWARE DSCYF
Active
Other names
Middletown Manor RTC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSETTE MANNING ESQ. (CABINET SECRETARY)
(302) 633-2500
Entity
Organization
Contact information
Practice address
495 E MAIN ST, MIDDLETOWN, DE 19709-1463
(302) 378-5222
Mailing address
PO BOX 444, 495 EAST MAIN ST, MIDDLETOWN, DE 19709-0444
(302) 378-5222
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
29313
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000495567
—
DE
01
—
0690004500
CYC
DE
Enumeration date
11/06/2006
Last updated
04/18/2017
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