| NPI | 1508846411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MICHAEL KRETT Administrator 302-683-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-09-17 |