Organization
STATE OF DELAWARE DSCYF
Active
Other names
Middletown Manor RTC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSETTE MANNING ESQ. (CABINET SECRETARY)
(302) 633-2500
Entity
Organization
Contact information
Practice address
495 E MAIN ST, MIDDLETOWN, DE 19709-1463
(302) 378-5222
Mailing address
PO BOX 444, 495 EAST MAIN ST, MIDDLETOWN, DE 19709-0444
(302) 378-5222
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
29313
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000495567
—
DE
01
—
0690004500
CYC
DE
Enumeration date
11/06/2006
Last updated
04/18/2017
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