Organization
PSYCHOTHERAPEUTIC SERVICES INC
Active
Parent organization
PSYCHOTHERAPEUTIC SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOTHERAPEUTIC SERVICES INC
Authorized official
MR. RANDALL L COOPER (CFO)
(410) 778-9114
Entity
Organization
Contact information
Practice address
630 W. DIVISION ST, SUITE F, DOVER, DE 19904
(302) 672-7159
(302) 672-7178
Mailing address
870-2 HIGH STREET, CHESTERTOWN, MD 21620
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
106301
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000520561
—
DE
Enumeration date
12/03/2008
Last updated
12/03/2008
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