| NPI | 1194707760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNI FIELD President 302-234-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DE c1 0003041) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |