Healthcare Provider Details

I. General information

NPI: 1467045567
Provider Name (Legal Business Name): LOTUS RECOVERY CENTER OF PRICES CORNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 NEWPORT GAP PIKE
WILMINGTON DE
19808-6179
US

IV. Provider business mailing address

1812 NEWPORT GAP PIKE
WILMINGTON DE
19808-6179
US

V. Phone/Fax

Practice location:
  • Phone: 302-500-5997
  • Fax: 302-500-5870
Mailing address:
  • Phone: 302-500-5997
  • Fax: 302-500-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: JEAN TIMMONS
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 302-500-5997