| NPI | 1063696235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY T BRINKLEY Administrator 302-678-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DE 1998204553) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |