| NPI | 1700511516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ANGELINA SPINKS Chief Clinical & Compliance Officer 302-312-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-12-05 |