Healthcare Provider Details

I. General information

NPI: 1821709361
Provider Name (Legal Business Name): DELAWARE DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CENTRAL AVE
NEW CASTLE DE
19720-1152
US

IV. Provider business mailing address

1901 NORTH DUPONT HWY SPRINGER BUILDING
NEW CASTLE DE
19720-1152
US

V. Phone/Fax

Practice location:
  • Phone: 302-255-1650
  • Fax: 302-255-1651
Mailing address:
  • Phone: 302-255-9399
  • Fax: 302-255-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. FRANCES R. MARTI
Title or Position: DEPUTY DIRECTOR
Credential: LPCMH, LCDP, CAADC,
Phone: 302-463-5391