Healthcare Provider Details

I. General information

NPI: 1508397209
Provider Name (Legal Business Name): LRC FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 OAKMONT DR
NEW CASTLE DE
19720-1321
US

IV. Provider business mailing address

34 OAKMONT DR
NEW CASTLE DE
19720-1321
US

V. Phone/Fax

Practice location:
  • Phone: 980-430-3181
  • Fax: 866-405-5481
Mailing address:
  • Phone: 980-430-3181
  • Fax: 866-405-5481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VERONICA CLARK
Title or Position: CEO
Credential:
Phone: 980-430-3181