| Wraparound Delaware LLC | |
|
105a Rogers Rd Wilmington DE 19801-5767 | |
| (302) 504-8487 | |
| (302) 654-1484 |
| Full Name | Wraparound Delaware LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105a Rogers Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Kimberly Cooke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4106034102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wraparound Delaware LLC 105a Rogers Rd Wilmington DE 19801-5767 Ph: (302) 504-8487 | Wraparound Delaware LLC 105a Rogers Rd Wilmington DE 19801-5767 Ph: (302) 504-8487 |
| NPI Number | 1770978595 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770978595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | Q1-0001139 (Delaware) | Primary |
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