Organization
PORT IN THE STORM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANNE MILLIGAN PH.D. (VICE PRESIDENT)
(302) 735-7738
Entity
Organization
Contact information
Practice address
600 W DIVISION ST, DOVER, DE 19904-2702
(302) 735-7738
(302) 735-8560
Mailing address
PO BOX 77, DOVER, DE 19903-0077
(302) 735-7738
(302) 735-8560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10000296
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021573
—
DE
Enumeration date
07/15/2014
Last updated
07/15/2014
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