| NPI | 1710411558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MORROW Member 302-528-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 23639) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-05-06 |