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Organization
PSYCHOTHERAPEUTIC SERVICES INC
Active
Organization
PSYCHOTHERAPEUTIC SERVICES INC
Active
Parent organization
PSYCHOTHERAPEUTIC SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOTHERAPEUTIC SERVICES INC
Authorized official
MR. RANDALL L COOPER (CFO)
(410) 778-9114
Entity
Organization
Contact information
Practice address
630 W. DIVISION ST, SUITE F, DOVER, DE 19904
(302) 672-7159
(302) 672-7178
Mailing address
870-2 HIGH STREET, CHESTERTOWN, MD 21620
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
106301
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000520561
—
DE
Enumeration date
12/03/2008
Last updated
12/03/2008
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