| NPI | 1508171414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R. MIERSCH CEO 302-656-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: DE 2010604369) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |