# GREENBROOK TMS WILMINGTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295272730
- **Authorized official:** EGAN S PRATT RN (GREATER BALTIMORE REGIONAL MANAGER)
- **Authorized official phone:** (855) 755-4867

## Contact information

- **Practice address:** 410 FOULK RD, SUITE 105, WILMINGTON, DE 19803-3820
- **Practice address phone:** (855) 755-4867
- **Practice address fax:** (855) 250-4867
- **Mailing address:** 8405 GREENSBORO DR, SUITE 120, MC LEAN, VA 22102-5104
- **Mailing address phone:** (855) 333-4867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2017
- **Last updated:** 01/23/2017