1609895762 STATE OF DE

Mental Health Clinic/Center (Including Community Mental Health Center)

Active

Basic Information

Organization Name
STATE OF DE
Enumeration Date
July 19, 2006
Last Update
December 31, 2008
Authorized Official
MR. STANLEY J KOTULA
MEDICAL DIRECTOR/DIRECTOR OF CLINCI
Phone: (302) 576-6093

Practice Location

Address
809 N WASHINGTON ST
WILMINGTON, DE 198011509
Phone
(302) 577-6490

Mailing Address

Address
10 SW FRONT ST
MILFORD, DE 199631948
Phone
(302) 422-1422
Fax
(302) 422-1375

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
609724 05 DE N/A

Frequently Asked Questions

What is STATE OF DE's NPI number?
STATE OF DE's NPI number is 1609895762.
Which doctor has NPI number 1609895762?
The doctor with NPI number 1609895762 is STATE OF DE.
What is STATE OF DE's practice address?
STATE OF DE's practice address is 809 N WASHINGTON ST, WILMINGTON, DE, 198011509.
Which doctor practices at 809 N WASHINGTON ST, WILMINGTON, DE, 198011509?
STATE OF DE practices at 809 N WASHINGTON ST, WILMINGTON, DE, 198011509.
What is STATE OF DE's mailing address?
STATE OF DE's mailing address is 10 SW FRONT ST, MILFORD, DE, 199631948.
What is STATE OF DE's phone number?
STATE OF DE's phone number is (302) 577-6490.
Who is (302) 577-6490?
(302) 577-6490 is the phone number for STATE OF DE.
What is STATE OF DE's specialty?
STATE OF DE's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is STATE OF DE?
STATE OF DE is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is STATE OF DE a Mental Health (Including Community Mental Health Center)?
Yes, STATE OF DE is a Mental Health (Including Community Mental Health Center).
Is STATE OF DE still practicing?
Yes, STATE OF DE is currently practicing.
Is STATE OF DE accepting new patients?
STATE OF DE may be accepting new patients. Please call their office at (302) 577-6490 to inquire about availability.
Is NPI 1609895762 still active?
Yes, NPI 1609895762 is currently active.
Where does STATE OF DE practice?
STATE OF DE practices in WILMINGTON, DE.