Organization
DTAC OF DELAWARE LLC
Active
Organization
DTAC OF DELAWARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BROOK LEAH REICHENBACH MBA (ADMINISTRATIVE SPECIALIST)
(570) 524-9986
Entity
Organization
Contact information
Practice address
9 E LOOCKERMAN ST, DOVER, DE 19901-8306
(302) 734-2700
Mailing address
1950 RUTGERS UNIVERSITY BLVD STE 201, LAKEWOOD, NJ 08701-4537
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
09/21/2020
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