Delmarva Counseling Center LLC

Organization Active NPI Comprehensive Outpatient Rehabilitation Facility (CORF) · Delmar, MD

NPI 1194171389 · NPPES record last updated May 6, 2016

Key facts

NPI
1194171389
Entity type
Organization (NPI type 2)
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Legal business name
DELMARVA COUNSELING CENTER LLC
Practice address
28 E State St
Delmar, MD 21875-1601
Phone
(410) 896-3995
Fax
(410) 896-2825
NPI assigned
May 6, 2016
Organization subpart
No

Authorized official

Name
Dr. Beatrice Hamilton
Title
Ceo
Phone
(410) 896-3995

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Delmarva Counseling Center LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Yes

Addresses

Primary practice location

28 E State St
Delmar, MD 21875-1601

Mailing address

28 E State St
Delmar, MD 21875-1601
Phone (410) 896-3995

Other identifiers

IdentifierTypeStateIssuer
4234910 00MedicaidMD

Other providers in Delmar, MD

All providers in Delmar, MD · Comprehensive Outpatient Rehabilitation Facility (CORF) in Maryland

Sources for this page

Verify at the official NPI Registry.