Organization
BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN M FAHEY PHD (CEO)
(302) 225-9269
Entity
Organization
Contact information
Practice address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
(302) 225-9267
(302) 655-8920
Mailing address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
(302) 225-9267
(302) 655-8920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000047051
—
DE
05
—
0000884757
—
DE
05
—
1000024022
—
DE
Enumeration date
10/17/2006
Last updated
09/27/2022
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