Organization · NPI-2

Banwoll

Community/Behavioral Health · Wilmington, DE

NPI number1598067308
StatusActive
Last updated in NPPESNov 30, 2010

Details

NPI
1598067308
Entity type
Organization (NPI-2)
Legal business name
Banwoll
Organization subpart
No
Enumeration date
Nov 30, 2010
Last updated
Nov 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–DEYes

Practice location

3407 Lancaster Pike
Wilmington, DE 19805-5543

Phone 302-998-9880

Mailing address

3407 Lancaster Pike
Wilmington, DE 19805-5543

Phone 302-998-9880

Authorized official

Marce Yolanda Garbett
Executive Director Of Services
3029989880

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