Organization
PORT IN THE STORM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA A DYER LCSW (THERAPIST)
(302) 735-7738
Entity
Organization
Contact information
Practice address
600 W DIVISION ST, DOVER, DE 19904-2702
(302) 735-7738
(302) 735-8560
Mailing address
600 W DIVISION ST, DOVER, DE 19904-2702
(302) 735-7738
(302) 735-8560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
Q1-0000296
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021573
—
DE
Enumeration date
01/23/2009
Last updated
08/18/2015
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