State of De
NPI #1104582816 in New Castle, Delaware
Provider Information
- NPI Number
- 1104582816
- Entity Type
- Organization
- Organization Name
- State of De
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- DSAMH, OFFICE OF THE MEDICAL DIRECTOR
- Address 2
- 1901 N. DUPONT HIGHWAY
- City
- New Castle
- State
- Delaware
- ZIP Code
- 19720
- Phone
- (302) 255-9399
Authorized Official
- Name
- DR. GERARD GALLUCCI, MD
- Title
- ACTING MEDICAL DIRECTOR
- Phone
- (302) 255-2838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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