| 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 |