Organization
A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC
Active
Parent organization
A CENTER FOR MENTAL WELLNESS, INC.
Other names
Chrysalis in Sussex at ACFMW
Organization subpart
Yes
Provider details
NPI number
Legal business name
A CENTER FOR MENTAL WELLNESS, INC.
Authorized official
LAUREN ELIZABETH TINSLEY LPCMH (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
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639325822
—
DE
Enumeration date
11/30/2018
Last updated
11/30/2018
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