Organization
PORT IN THE STORM
Active
Other names
PORT IN THE STORM
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DYER LCSW (DIRECTOR)
(302) 735-7738
Entity
Organization
Contact information
Practice address
600 W DIVISION ST, DOVER, DE 19904-2702
(302) 735-7738
Mailing address
600 W DIVISION ST, DOVER, DE 19904-2702
(302) 735-7738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1912238536
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021573
—
DE
Enumeration date
09/17/2015
Last updated
09/17/2015
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