Organization
ADDICTION MEDICAL FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN THARP (BILLING SPECIALIST MANAGER)
(302) 629-2300
Entity
Organization
Contact information
Practice address
400 HEALTH SERVICES DR STE 401, SEAFORD, DE 19973-5769
(302) 629-2300
(302) 629-2305
Mailing address
400 HEALTH SERVICES DR STE 401, SEAFORD, DE 19973-5769
(302) 629-2300
(302) 629-2305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
DE
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004228500
HIGHMARK OF DELAWARE
DE
01
—
004311970
HIGHMARK OF DELAWARE
DE
01
—
004484807
HIGHMARK OF DELAWARE
DE
05
—
240044800
—
MD
05
—
250502531
—
DE
Enumeration date
09/22/2017
Last updated
04/16/2026
Update your record
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