NPI | 1356354708 |
---|---|
Entity Type | Organization |
Authorized Contact | LOU ANN VANDERWENDE Patient Account COO Rdinator 302-678-3652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2006-08-15 |
Last Update Date | 2008-04-20 |