Healthcare Provider Details

I. General information

NPI: 1740465574
Provider Name (Legal Business Name): JEWISH FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GARDEN OF EDEN RD
WILMINGTON DE
19803-1511
US

IV. Provider business mailing address

101 GARDEN OF EDEN RD
WILMINGTON DE
19803-1511
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-9411
  • Fax: 302-479-9883
Mailing address:
  • Phone: 302-478-9411
  • Fax: 302-479-9883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberQ1-0000812
License Number StateDE

VIII. Authorized Official

Name: MRS. DORY ZATUCHNI
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 302-478-9411