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Organization
STATE OF DELAWARE
Active
Organization
STATE OF DELAWARE
Active
Other names
Kent/Sussex Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY J KOTULA (MEDICAL DIRECTOR/DIRECTOR OF CLINIC)
(302) 576-6093
Entity
Organization
Contact information
Practice address
805 RIVER RD, DOVER, DE 19901-3753
(302) 739-4275
Mailing address
10 SW FRONT ST, MILFORD, DE 19963-1948
(302) 422-1422
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000609824
—
DE
Enumeration date
05/23/2006
Last updated
02/25/2020
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