| NPI | 1114512068 |
|---|---|
| Doing Business As | STATE OF DE - DOC |
| Entity Type | Organization |
| Authorized Contact | AWELE N. MADUKA-EZEH Medical Director 302-739-5601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |