| Middletown Manor Rtc | |
|
495 E Main St Middletown DE 19709-1463 | |
| (302) 378-5222 | |
| Not Available |
| Full Name | Middletown Manor Rtc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 495 E Main St, Middletown, Delaware |
| Authorized Official Name and Position | Josette Manning (CABINET SECRETARY) |
| Authorized Official Contact | 3026332500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middletown Manor Rtc Po Box 444 495 East Main St Middletown DE 19709-0444 Ph: (302) 378-5222 | Middletown Manor Rtc 495 E Main St Middletown DE 19709-1463 Ph: (302) 378-5222 |
| NPI Number | 1073692224 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073692224 | NPI | - | NPPES |
| 0000495567 | Medicaid | DE | |
| 0690004500 | Other | DE | CYC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 29313 (Delaware) | Primary |
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