| NPI | 1619227691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION WILLIAMS President 302-439-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: DE L10011895) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |