Provider Demographics
NPI:1285345306
Name:DELAWARE DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH
Entity type:Organization
Organization Name:DELAWARE DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH, LCDP, CAADC,
Authorized Official - Phone:302-463-5391
Mailing Address - Street 1:1901 N DUPONT HIGHWAY
Mailing Address - Street 2:SPRINGER BUILDING
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720
Mailing Address - Country:US
Mailing Address - Phone:302-255-9399
Mailing Address - Fax:302-255-4408
Practice Address - Street 1:546 S BEDFORD ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-1852
Practice Address - Country:US
Practice Address - Phone:302-515-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELAWARE HEALTH AND SOCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)