| NPI | 1649620618 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT HENRY Practice Manager 302-629-3099 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: DE 2016603685) | 
| Enumeration Date | 2016-06-20 | 
| Last Update Date | 2016-06-20 |