NPI | 1750762126 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN S OLSON Chief Executive Officer 302-855-1233 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2020-06-03 |