LATIN AMERICAN COMMUNITY CENTER NPI 1083804454

NPI Information

LATIN AMERICAN COMMUNITY CENTER is a voluntary or charitable in Wilmington, DE. LATIN AMERICAN COMMUNITY CENTER NPI is 1083804454. The provider is registered as an organization entity type.

The provider's business location address is:

301 N HARRISON ST
WILMINGTON, DE
ZIP 19805-612
Phone: (302) 295-2160
Fax: (302) 655-7806

The provider's authorized official is Stephanie J Traynor .
The authorized official title is Director Of Mental Health Program and has the following contact phone number (302) 295-2169.

The CLIA number assigned to this NPI record is 08D1043887 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 7/31/2007.

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:

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