| NPI | 1306309356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS WILLIAM ARENA Physician Assistant 302-494-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 251S00000X |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 314000000X Skilled Nursing Facility | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |