Provider Demographics
NPI:1316732589
Name:CLAYMONT COMPREHENSIVE TREATMENT CENTER
Entity type:Organization
Organization Name:CLAYMONT COMPREHENSIVE TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUBSTANCE ABUSE COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KOBEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-609-3478
Mailing Address - Street 1:30 DONCASTER RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3013
Mailing Address - Country:US
Mailing Address - Phone:302-609-3478
Mailing Address - Fax:
Practice Address - Street 1:2999 PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2507
Practice Address - Country:US
Practice Address - Phone:302-792-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder