| NPI | 1720797251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEERA MANICKAM Owner 302-740-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2024-04-02 |