Organization
PHOENIX BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FRIEDMAN (CEO)
(302) 736-6135
Entity
Organization
Contact information
Practice address
1059 S BRADFORD ST, DOVER, DE 19904-4141
(302) 736-6135
(302) 736-0172
Mailing address
PO BOX 1081, DOVER, DE 19903-1081
(302) 736-6135
(302) 736-0172
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022273
—
DE
Enumeration date
11/20/2006
Last updated
01/06/2009
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