STATE OF DE NPI 1104582816

NPI Information

NPI: 1104582816
Provider Name: STATE OF DE
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
DSAMH, OFFICE OF THE MEDICAL DIRECTOR
1901 N. DUPONT HIGHWAY
NEW CASTLE, DE
ZIP 19720
Phone: (302) 255-9399
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STATE OF DE is a mental health (including community mental health center) clinic center in New Castle, DE. STATE OF DE NPI is 1104582816. The provider is registered as an organization entity type.

The provider's business location address is:

DSAMH, OFFICE OF THE MEDICAL DIRECTOR
1901 N. DUPONT HIGHWAY
NEW CASTLE, DE
ZIP 19720
Phone: (302) 255-9399

The provider's authorized official is Gerard Gallucci .
The authorized official title is Acting Medical Director and has the following contact phone number (302) 255-2838.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 11/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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