Organization
PITTMAN BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARESA PITTMAN NP (OWNER/NURSE PRACTITIONER)
(302) 365-0384
Entity
Organization
Contact information
Practice address
102 SLEEPY HOLLOW DR, SUITE 204 BUNKER HILL BUILDING, MIDDLETOWN, DE 19709-5841
(302) 365-0384
Mailing address
8 BORDEAUX BLVD, NEWARK, DE 19702-4546
(302) 521-9954
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L8-0000124
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417380312
NPI NUMBER
DE
Enumeration date
12/20/2013
Last updated
12/20/2013
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