Carebridge Health Systems INC.
Psychologist, Intellectual & Developmental Disabilities in Middletown, DE. Organization (NPI-2).
NPI number1619703337
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1619703337
- Entity type
- Organization (NPI-2)
- Legal business name
- Carebridge Health Systems INC.
- Organization subpart
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | Yes |
Practice location
157 Shannon BlvdMiddletown, DE 19709-2191
Phone 302-747-0150
Mailing address
157 Shannon BlvdMiddletown, DE 19709-2191
Phone 302-747-0150
Authorized official
Gershom Soire
Owner
3027470150
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