| NPI | 1477909893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN LANCE LIFRAK Owner 302-654-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |