Organization
BANCROFT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY STANFORD WHY PMHNP-BC (PSYCHIATRIC/MENTAL HEALTH NURSE PRA)
(302) 502-3255
Entity
Organization
Contact information
Practice address
1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK, BUILDING 1, SUITE 1107, NEWARK, DE 19711
(302) 502-3255
(302) 502-3257
Mailing address
1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK, BUILDING 1, SUITE 1107, NEWARK, DE 19711
(302) 502-3255
(302) 502-3257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000104
DE
Other
Enumeration date
07/13/2010
Last updated
05/24/2016
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