CONNECTIONS CSP BRANDYWINE STREET WOMEN'S RESIDENTIAL TREATMENT PROGRA (NPI# 1508225905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508225905 |
| Entity Type | Organization |
| Organization Name | CONNECTIONS CSP BRANDYWINE STREET WOMEN'S RESIDENTIAL TREATMENT PROGRA |
| Other Organization Name | CONNECTIONS BRANDYWINE STREET WOMEN'S RESIDENTIAL TREATMENT PROGRAM |
| Practice Address |
1120 Brandywine St Wilmington DE 19802-5219 |
| Mailing Address |
3821 Lancaster Pike Wilmington DE 19805-1512 |
| Practice Telephone | 3022505883 |
| Mailing Telephone | 3024426622 |
| Mailing Fax Number | 3029843385 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | CATHERINE DEVANEY MCKAY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3022309103 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
DE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Connections Brandywine Street Women's Residential Treatment Program | Doing Business As Name - Organization |
| Street Address |
1120 BRANDYWINE ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19802-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891368 | Connections | Substance Abuse Rehabilitation Facility | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2018-05-11 |
| 1245720556 | Jessica Lynn Stewart | Counselor | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2018-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828352 | Allison Porter Nast | Nurse Practitioner | 1624 N Jessup Street, Wilmington, DE 19802 | 2018-10-29 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1245694694 | Rochelle L Johnson | Counselor | 2005 Baynard Boulevard, Wilmington, DE 19802 | 2016-04-12 |
| 1942674692 | Barbara G Goldsmith | Social Worker | 501 W 37th St, Wilmington, DE 19802 | 2015-11-18 |
| 1942590492 | Olalekan David Falade | Pharmacist | 602 C4 West Lea Blvd, Wilmington, DE 19802 | 2011-04-18 |
| 1598919144 | Trina Brooks Haywood | Registered Nurse | 700 W Lea Blvd Ste 201, Wilmington, DE 19802 | 2008-11-10 |
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1366622110 | Overbrook Therapy Associates | Community/Behavioral Health | 1015 West 24th Street, Wilmington, DE 19802 | 2007-11-09 |
| 1215059332 | Everett T Dickerson | Counselor | 620 W 27th St, Wilmington, DE 19802 | 2007-04-06 |
| Find all providers in zip 19802 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427954 | Ch Mh Services (de), LLC | Clinic/Center | 2417 Lancaster Ave Unit 110, Wilmington, DE 19805-3736 | 2020-11-06 |
| 1144830738 | Aviva Mental Health Services Inc | Clinic/Center | 219 W 9th St, Wilmington, DE 19801-1619 | 2020-08-07 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1487004651 | Joseph Luther Sampson Jr. | Clinic/Center | 2705 Shandy Ln, Wilmington, NC 28409-2042 | 2016-06-17 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1609291806 | Advanced Behavioral Medicine, LLC | Clinic/Center | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2014-02-25 |
| 1073768123 | Gaudenzia Inc | Clinic/Center | 604 W 10th St, Wilmington, DE 19801-1424 | 2008-11-17 |
| 1902825169 | Wilmington Treatment Center, Inc. | Clinic/Center | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2006-07-19 |
| 1972819845 | Holcomb Associates Inc. | Clinic/Center | 2400 W 4th St, Wilmington, DE 19805-3306 | 2010-08-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19802 |
Please comment or provide details below to improve the information on CONNECTIONS CSP BRANDYWINE STREET WOMEN'S RESIDENTIAL TREATMENT PROGRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.