Organization
AQUILA OF DELAWARE, INC.
Active
Other names
Aquila of Delaware, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI A PATTERSON (DIRECTOR OF BILLING)
(302) 293-6741
Entity
Organization
Contact information
Practice address
4185 KIRKWOOD ST GEORGES RD, BEAR, DE 19701-2272
(302) 270-8577
(302) 832-2729
Mailing address
4185 KIRKWOOD ST GEORGES RD, BEAR, DE 19701-2272
(302) 270-8577
(302) 838-2326
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0602528
AETNA
DE
01
—
159139
BLUE CROSS BLUE SHIELD DE
DE
01
—
174428
COMPSYCH
DE
01
—
37761
CIGNA
DE
01
—
A066181
VALUE OPTIONS
DE
Enumeration date
01/09/2007
Last updated
12/29/2022
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