| NPI | 1669479929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FRASER President/CEO 302-584-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2025-05-12 |