| NPI | 1700832185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT OLSON Chief Executive Officer 302-855-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-09-19 |