| Atlantic Recovery Institute And Advocacy Center Llc | |
|
110 S Delaware St Smyrna DE 19977-1447 | |
| (302) 632-2204 | |
| Not Available |
| Full Name | Atlantic Recovery Institute And Advocacy Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 110 S Delaware St, Smyrna, Delaware |
| Authorized Official Name and Position | Jessica Fritzges (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3026322204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Recovery Institute And Advocacy Center Llc 110 S Delaware St Smyrna DE 19977-1447 Ph: (302) 632-2204 | Atlantic Recovery Institute And Advocacy Center Llc 110 S Delaware St Smyrna DE 19977-1447 Ph: (302) 632-2204 |
| NPI Number | 1053952598 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Medicare PECOS PAC ID | 9234565417 |
|---|---|
| Medicare Enrollment ID | O20200206001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053952598 | NPI | - | NPPES |
| 250607302 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Fritzges-white |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730634452 PECOS PAC ID: 7315226305 Enrollment ID: I20161115001568 |
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