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NPI Code Detail

MEDICARE: KENT SUSSEX COMMUNITY SERVICES, INC.

MEDICARE: KENT SUSSEX COMMUNITY SERVICES, INC.
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
1261QM2800XMethadone ClinicCL0001DE
2261QM2800XMethadone ClinicCL0123DE
3103TP2701XGroup Psychotherapy PsychologistDE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326183674
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENT SUSSEX COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : 1241 COLLEGE PARK DR
Second Line :
City : DOVER
State : DE
Zip : 19904-8713
Country : US
Telephone Number : 302-735-7790
Fax Number : 302-735-3654
Provider Business Practice Location Address
First Line : 1241 COLLEGE PARK DR
Second Line :
City : DOVER
State : DE
Zip : 19904-8713
Country : US
Telephone Number : 302-735-7790
Fax Number : 302-735-3654
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DAVID WALTON PARCHER
Credential : M.A., L.P.C.M.H.
Telephone Number : 302-735-7790
Provider Enumeration Date : 02/21/2007
Last Update Date : 10/22/2015

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Directions to “KENT SUSSEX COMMUNITY SERVICES, INC. ” Practice Location

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