| Psychotherapeutic Children's Services | |
|
630 W Division Street Suite F Dover DE 19904 | |
| (302) 672-7159 | |
| (302) 672-7178 |
| Full Name | Psychotherapeutic Children's Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 630 W Division Street, Dover, Delaware |
| Authorized Official Name and Position | Randall Lewis Cooper (CFO) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Children's Services 870 High Street Suite 2 Chestertown MD 21620 Ph: (410) 778-9114 | Psychotherapeutic Children's Services 630 W Division Street Suite F Dover DE 19904 Ph: (302) 672-7159 |
| NPI Number | 1760636013 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760636013 | NPI | - | NPPES |
| 1427083583 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 106301 (Delaware) | Primary |
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