Provider Demographics
NPI:1316216070
Name:WARREN DEVELOPMENT
Entity Type:Organization
Organization Name:WARREN DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DESHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-356-0518
Mailing Address - Street 1:711 WINDSOR STREET
Mailing Address - Street 2:APT. 6
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:711 WINDSOR ST
Practice Address - Street 2:APT. 6
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1465
Practice Address - Country:US
Practice Address - Phone:215-356-0518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000580251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health