Provider Demographics
NPI:1518853399
Name:COMMUNITY COLLABORATION OF DELAWARE, INC.
Entity type:Organization
Organization Name:COMMUNITY COLLABORATION OF DELAWARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-419-7033
Mailing Address - Street 1:621 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:HISTORIC NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5073
Mailing Address - Country:US
Mailing Address - Phone:302-364-3400
Mailing Address - Fax:
Practice Address - Street 1:621 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:HISTORIC NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-5073
Practice Address - Country:US
Practice Address - Phone:302-364-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder