Organization · NPI-2
Diamond State Youth, INC.
Residential Treatment Facility, Emotionally Disturbed Children · Wilmington, DE
NPI number1326186347
StatusActive
Last updated in NPPESAug 16, 2011
Details
- NPI
- 1326186347
- Entity type
- Organization (NPI-2)
- Legal business name
- Diamond State Youth, INC.
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Aug 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 29182 | DE | Yes |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 29182 | DE | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 29182 | DE |
Other names
- Diamond State Youth Behavioral Health System (Doing Business As)
Practice location
1413 Lore AvenueWilmington, DE 19809
Phone 302-762-6360 · Fax 302-762-6362
Mailing address
1413 Lore AvenueWilmington, DE 19809
Phone 302-762-6360 · Fax 302-762-6362
Authorized official
Ruth E. Sargeant
Executive Director
3027626360
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