| NPI | 1245463611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE LOUISE STEIMEL Owner 302-703-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DE 2009601875) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |