| NPI | 1407836315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE O'CONNOR Administrator 302-894-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: DE 1999209751) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-04-17 |