Organization
A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC
Active
Other names
A Center for Mental Wellness Community Support Programs
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ELIZABETH TINSLEY (MANAGING MEMBER)
(302) 674-1397
Entity
Organization
Contact information
Practice address
121 W LOOCKERMAN ST, DOVER, DE 19904-7325
(302) 674-1397
(302) 674-1602
Mailing address
121 W LOOCKERMAN ST, DOVER, DE 19904-7325
(302) 674-1397
(302) 674-1602
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225503303
DSCYF
DE
Enumeration date
10/04/2018
Last updated
03/13/2024
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