A Center for Mental Wellness Community Support Program

NPI #1710453717 in Dover, Delaware

Provider Information

NPI Number
1710453717
Entity Type
Organization
Organization Name
A Center for Mental Wellness Community Support Program
Subpart
Yes (part of a larger organization)
Parent Organization
A CENTER FOR MENTAL WELLNESS, INC.
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 17, 2018
Last Updated
Oct 17, 2018

Practice Location

Address
121 W LOOCKERMAN ST
City
Dover
ZIP Code
19904-7325
Phone
(302) 674-1397

Authorized Official

Name
LAUREN ELIZABETH TINSLEY
Title
PRESIDENT
Phone
(302) 674-1397

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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