Provider Demographics
NPI:1447836325
Name:AMEND FOUNDATION
Entity type:Organization
Organization Name:AMEND FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:DEMBY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:302-670-8226
Mailing Address - Street 1:2800 LANCASTER AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-5200
Mailing Address - Country:US
Mailing Address - Phone:252-640-4649
Mailing Address - Fax:302-384-8655
Practice Address - Street 1:2800 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-5200
Practice Address - Country:US
Practice Address - Phone:252-640-4649
Practice Address - Fax:302-384-8655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health