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 |