MLK Jr Educational Community Center, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MLK JR EDUCATIONAL COMMUNITY CENTER, INC

Practice address

600 W Division St
Dover, DE 19904-2702

Phone

(302) 399-8400

NPI assigned

Sep 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alex Cropper

Title

Vice President

Phone

(302) 399-8400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1386012425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HEATHERFIELD WAY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199049751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W DIVISION ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042702",
            "telephone_number": "302-399-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLK JR EDUCATIONAL COMMUNITY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "CROPPER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "302-399-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Mackenzie Mitchell
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• Swagata Mitra, M.D.
• Jad Mitri, MD
• Mobileyes
• Modern Maturity Center
• Michael James Moeller, D.D.S.
• Jamilah Mogharbel
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• Addiction (Substance Use Disorder) Counselor in Dover, DE
• Providers in Dover, DE by specialty
• Addiction (Substance Use Disorder) Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.