Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1164864021 |
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| LBN Legal business name | DELAWARE BEHAVIORAL HEALTH, INC. | ||||||||
| Authorized official | ERICA BENEDICT - (OFFICE/BUSINESS MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/20/2013 | ||||||||
| Last updated | 04/24/2014 - About 12 years ago | ||||||||
| Identifiers |
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