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Organization
DIAMOND STATE YOUTH, INC.
Active
Organization
DIAMOND STATE YOUTH, INC.
Active
Other names
Diamond State Youth Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUTH E. SARGEANT MS (EXECUTIVE DIRECTOR)
(302) 762-6360
Entity
Organization
Contact information
Practice address
1413 LORE AVENUE, WILMINGTON, DE 19809
(302) 762-6360
(302) 762-6362
Mailing address
1413 LORE AVENUE, WILMINGTON, DE 19809
(302) 762-6360
(302) 762-6362
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
29182
DE
320800000X
Mental Illness Community Based Residential Treatment Facility
29182
DE
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
29182
DE
Other
Enumeration date
02/02/2007
Last updated
08/16/2011
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