Healthcare Provider Details

I. General information

NPI: 1396723078
Provider Name (Legal Business Name): KENT SUSSEX COMMUNITY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 COLLEGE PARK DR
DOVER DE
19904-8713
US

IV. Provider business mailing address

1241 COLLEGE PARK DR
DOVER DE
19904-8713
US

V. Phone/Fax

Practice location:
  • Phone: 302-735-7790
  • Fax: 302-735-3653
Mailing address:
  • Phone: 302-735-7790
  • Fax: 302-735-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID WALTON PARCHER
Title or Position: EXECUTIVE DIRECTOR
Credential: M.A., L.P.C.M.H.
Phone: 302-735-7790