| NPI | 1780624171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYPAT KWOKA C.E.O. 302-633-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: DE FSSC-018) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-09-23 |