Organization
VERDE LOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENZA L FABBER LINCESE MH COUNSELOR (DIRECTOR OF TREATMENT SERVICES)
(302) 858-4040
Entity
Organization
Contact information
Practice address
401 N BEDFORD ST, GEORGETOWN, DE 19947-2197
(302) 858-4040
Mailing address
401 N BEDFORD ST, GEORGETOWN, DE 19947-2197
(302) 858-4040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC0000437
DE
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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