Provider Demographics
NPI:1497307177
Name:MADISON ADOPTION ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:MADISON ADOPTION ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MSW
Authorized Official - Phone:302-475-8977
Mailing Address - Street 1:1102 SOCIETY DR
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-1780
Mailing Address - Country:US
Mailing Address - Phone:302-475-8977
Mailing Address - Fax:302-529-1976
Practice Address - Street 1:1102 SOCIETY DR
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-1780
Practice Address - Country:US
Practice Address - Phone:302-475-8977
Practice Address - Fax:302-529-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health