| Celestial Community Services LLC | |
|
407 Robinson Dr Wilmington DE 19801-5744 | |
| (609) 992-0242 | |
| Not Available |
| Full Name | Celestial Community Services LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 407 Robinson Dr, Wilmington, Delaware |
| Authorized Official Name and Position | Antonisha Busby (MENTAL HEALTH CLINICIAN/ OWNER) |
| Authorized Official Contact | 6099920242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celestial Community Services LLC 407 Robinson Dr Wilmington DE 19801-5744 | Celestial Community Services LLC 407 Robinson Dr Wilmington DE 19801-5744 Ph: (609) 992-0242 |
| NPI Number | 1255060059 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255060059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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