NPI | 1225163199 |
---|---|
Entity Type | Organization |
Authorized Contact | LOU ANN VANDERWENDE Patient Account Coordinator 302-678-3652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2008-04-20 |