| NPI | 1225044662 |
|---|---|
| Doing Business As | WILMINGTON SUBCENTER |
| Entity Type | Organization |
| Authorized Contact | MIGUEL ORTIZ-MARROQUIN Interim Chief Executive Officer 310-222-2104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-12-27 |