Healthcare Provider Details

I. General information

NPI: 1417611674
Provider Name (Legal Business Name): ATS OF DELAWARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 S NEW ST
DOVER DE
19904-6715
US

IV. Provider business mailing address

PO BOX 682669 STE 200
FRANKLIN TN
37068-2669
US

V. Phone/Fax

Practice location:
  • Phone: 302-504-8500
  • Fax: 302-306-6261
Mailing address:
  • Phone: 615-861-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN PHILLIP FARLEY
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-6000