| NPI | 1669274452 |
|---|---|
| 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) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |