# PAIN AND SLEEP THERAPY CENTER LLC

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

## Provider details

- **NPI number:** 1679222343
- **Authorized official:** CARLY MARIE JACOBS DDS (CHIEF CLINICAL DIRECTOR)
- **Authorized official phone:** (302) 299-5617

## Contact information

- **Practice address:** 1149 W LANCASTER AVE SPC U-5, BRYN MAWR, PA 19010-2722
- **Practice address phone:** (302) 299-5617
- **Mailing address:** 620 CHURCHMANS RD STE 203, NEWARK, DE 19702-1945
- **Mailing address phone:** (302) 299-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 03/21/2022