| NPI | 1063166163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-428-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 363LS0200X Nurse Practitioner School | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |