| NPI | 1255878047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE CAVENDER Office Manager 302-225-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DE 2006201376) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |