Provider Demographics
NPI:1811877590
Name:STATE OF DELAWARE DSCYF
Entity type:Organization
Organization Name:STATE OF DELAWARE DSCYF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CABINET SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:YEATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-633-2505
Mailing Address - Street 1:1825 FAULKLAND RD
Mailing Address - Street 2:WHARTON HALL
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1121
Mailing Address - Country:US
Mailing Address - Phone:302-577-4270
Mailing Address - Fax:
Practice Address - Street 1:1825 FAULKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1121
Practice Address - Country:US
Practice Address - Phone:302-633-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health