Healthcare Provider Details

I. General information

NPI: 1275270936
Provider Name (Legal Business Name): CLH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2022
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 HIGH ST STE 106D
SEAFORD DE
19973-3954
US

IV. Provider business mailing address

221 HIGH ST STE 106D
SEAFORD DE
19973-3954
US

V. Phone/Fax

Practice location:
  • Phone: 302-316-3848
  • Fax:
Mailing address:
  • Phone: 302-316-3848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. HUNTER HASTINGS
Title or Position: CEO-OWNER
Credential: CADC
Phone: 302-339-5462