Organization
DELANYS MAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI M DELANY CNP (OWNER)
(419) 294-7747
Entity
Organization
Contact information
Practice address
390 MARION AVE, MANSFIELD, OH 44903-2015
(419) 775-7534
(419) 775-7537
Mailing address
390 MARION AVE, MANSFIELD, OH 44903-2015
(419) 775-7534
(419) 775-7537
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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