Healthcare Provider Details
I. General information
NPI: 1710805668
Provider Name (Legal Business Name): DELAWARE CENTER FOR JUSTICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 W 10TH ST STE 509
WILMINGTON DE
19801-6612
US
IV. Provider business mailing address
100 W 10TH ST STE 509
WILMINGTON DE
19801-6612
US
V. Phone/Fax
- Phone: 302-658-7174
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TARA
MAZER
Title or Position: COO
Credential:
Phone: 302-298-5468