Organization
AQUILA OF DELAWARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI DISABATINO (CHIEF EXECUTIVE OFFICER)
(302) 218-0630
Entity
Organization
Contact information
Practice address
1817 CHOPTANK RD, MIDDLETOWN, DE 19709-9047
(302) 376-3045
Mailing address
850 S STATE ST, DOVER, DE 19901-4113
(302) 664-7664
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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