Provider Demographics
NPI:1073665345
Name:THE CHILDREN'S SECRET GARDEN
Entity Type:Organization
Organization Name:THE CHILDREN'S SECRET GARDEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-947-0184
Mailing Address - Street 1:717 HATCHERY RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-1509
Mailing Address - Country:US
Mailing Address - Phone:302-730-1717
Mailing Address - Fax:302-730-4747
Practice Address - Street 1:717 HATCHERY RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-1509
Practice Address - Country:US
Practice Address - Phone:302-730-1717
Practice Address - Fax:302-730-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPPEC-004261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care