| NPI | 1366852519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOWUNMI AKINRULI Medical Director 302-401-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DE C1-0009779) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-02-28 |