| NPI | 1194026088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE SULLIVAN CEO 302-454-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: DE C20003446) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |