Organization
PSYCHIATRIC WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A REYNOLDS (OFFICE MANAGER)
(302) 678-1086
Entity
Organization
Contact information
Practice address
1274 S GOVERNORS AVE, DOVER, DE 19904-4802
(302) 678-1086
(302) 678-1087
Mailing address
1274 S GOVERNORS AVE, DOVER, DE 19904-4802
(302) 678-1086
(302) 678-1087
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000041665
—
DE
Enumeration date
02/28/2007
Last updated
08/22/2020
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