Organization
BANWOLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCE YOLANDA GARBETT MHS (EXECUTIVE DIRECTOR OF SERVICES)
(302) 998-9880
Entity
Organization
Contact information
Practice address
3407 LANCASTER PIKE, WILMINGTON, DE 19805-5543
(302) 998-9880
Mailing address
3407 LANCASTER PIKE, WILMINGTON, DE 19805-5543
(302) 998-9880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
DE
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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