| NPI | 1144198003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON CEO 302-407-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |