NPI | 1588952618 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER FRASER Chief Executive Officer 302-584-6290 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2025-03-25 |