NPI | 1588952618 |
---|---|
Entity Type | Organization |
Authorized Contact | LOLITA LOPEZ Chief Executive Officer 302-656-8292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2022-04-20 |