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NPI Code Detail

MEDICARE: ATS OF DELAWARE, LLC

MEDICARE: ATS OF DELAWARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterDE
2261QM0850XAdult Mental Health Clinic/Center
3261QM2800XMethadone Clinic
4261QM2800XMethadone ClinicDE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114079654
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATS OF DELAWARE, LLC
Provider Business Mailing Address
First Line : 6183 PASEO DEL NORTE STE 200
Second Line :
City : CARLSBAD
State : CA
Zip : 92011-1151
Country : US
Telephone Number : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2999 PHILADELPHIA PIKE
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2507
Country : US
Telephone Number : 302-792-0700
Fax Number : 302-792-0800
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 01/17/2007
Last Update Date : 10/03/2024

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Directions to “ATS OF DELAWARE, LLC ” Practice Location

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