PSYCHOTHERAPEUTIC SERVICES, INC.
Residential Treatment Facilities in Dover, DE

License number
Delaware 1180969
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. RANDALL LEWIS COOPER
Title: CFO
Phone: (410) 778-1099
Address
Address
27 Salisbury Rd, Dover, DE 19904
National Provider ID: 1952754848
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHOTHERAPEUTIC SERVICES, INC

942 Walker Rd SUITE B, Dover, DE 19904

Status:
Inactive
Inactive reason:
REVOKED FOR ANNUAL REPORT
Registration:
Jan 9, 2004
Inactive since:
Sep 16, 2005
State ID:
F04000000198
Business type:
Foreign Profit Corporation
Treasurer, Directors:
D. Cherry Jones Chairman, President, inactive, 942 Walker Rd SUITE B, Dover, DE 19904 (Physical),Ralph S Wolf Chairman, Secretary, Vice President, inactive, 942 Walker Rd SUITE B, Dover, DE 19904 (Physical),Randall C Copper Treasurer, Director, inactive, 942 Walker Rd SUITE B, Dover, DE 19904 (Physical)
Agent:
Blair, Albert,3300 Ponce De Leon Blvd, Miami, FL 33134 (Physical)
EIN:
52-1586206

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