| NPI | 1104164524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ZEBLEY Nurse Practitioner 302-653-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: DE LB0000164) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |