Healthcare Provider Details

I. General information

NPI: 1427837004
Provider Name (Legal Business Name): SYNERGY RECOVERY SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WOLF CREEK BLVD
DOVER DE
19901-4967
US

IV. Provider business mailing address

103 WOLF CREEK BLVD
DOVER DE
19901-4967
US

V. Phone/Fax

Practice location:
  • Phone: 302-603-5607
  • Fax:
Mailing address:
  • Phone: 302-603-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEX CROPPER
Title or Position: CEO
Credential:
Phone: 302-603-5607