Organization
CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN STEWART (COUNSELOR, CADC)
(302) 438-6641
Entity
Organization
Contact information
Practice address
1120 BRANDYWINE ST, WILMINGTON, DE 19802-5219
(302) 384-8167
(302) 502-3102
Mailing address
405 STANLEY PLAZA BLVD, NEWARK, DE 19713-2983
(302) 438-6641
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
DE
Enumeration date
05/11/2018
Last updated
05/11/2018
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