Organization
2ND CHANCE PROMISE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE V HALEY PH.D. (OWNER/PROVIDER)
(302) 563-8399
Entity
Organization
Contact information
Practice address
19 LAMBSON LN STE B102, NEW CASTLE, DE 19720-2118
(302) 337-5513
Mailing address
3113 N VAN BUREN ST, WILMINGTON, DE 19802-2939
(302) 563-8399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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