| NPI | 1669479929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITA A. LOPEZ President/CEO 302-656-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2022-04-20 |