| NPI | 1417686403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALON PAYENSON Medical Director 302-824-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 251E00000X Home Health | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-05-13 |