1104871920 STATE OF DELAWARE
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- STATE OF DELAWARE
- Enumeration Date
- May 23, 2006
- Last Update
- February 25, 2020
- Authorized Official
- MR. STANLEY J KOTULA
MEDICAL DIRECTOR/DIRECTOR OF CLINIC
Phone: (302) 576-6093
Practice Location
- Address
- 805 RIVER RD
DOVER, DE 199013753 - Phone
- (302) 739-4275
Mailing Address
- Address
- 10 SW FRONT ST
MILFORD, DE 199631948 - Phone
- (302) 422-1422
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 |
|---|---|---|---|
| 0000609824 | 05 | DE | N/A |
Frequently Asked Questions
What is STATE OF DELAWARE's NPI number?
STATE OF DELAWARE's NPI number is 1104871920.
Which doctor has NPI number 1104871920?
The doctor with NPI number 1104871920 is STATE OF DELAWARE.
What is STATE OF DELAWARE's practice address?
STATE OF DELAWARE's practice address is 805 RIVER RD, DOVER, DE, 199013753.
Which doctor practices at 805 RIVER RD, DOVER, DE, 199013753?
STATE OF DELAWARE practices at 805 RIVER RD, DOVER, DE, 199013753.
What is STATE OF DELAWARE's mailing address?
STATE OF DELAWARE's mailing address is 10 SW FRONT ST, MILFORD, DE, 199631948.
What is STATE OF DELAWARE's phone number?
STATE OF DELAWARE's phone number is (302) 739-4275.
Who is (302) 739-4275?
(302) 739-4275 is the phone number for STATE OF DELAWARE.
What is STATE OF DELAWARE's specialty?
STATE OF DELAWARE's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is STATE OF DELAWARE?
STATE OF DELAWARE is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is STATE OF DELAWARE a Mental Health (Including Community Mental Health Center)?
Yes, STATE OF DELAWARE is a Mental Health (Including Community Mental Health Center).
Is STATE OF DELAWARE still practicing?
Yes, STATE OF DELAWARE is currently practicing.
Is STATE OF DELAWARE accepting new patients?
STATE OF DELAWARE may be accepting new patients. Please call their office at (302) 739-4275 to inquire about availability.
Is NPI 1104871920 still active?
Yes, NPI 1104871920 is currently active.
Where does STATE OF DELAWARE practice?
STATE OF DELAWARE practices in DOVER, DE.