NPI | 1790004786 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN OLSON Chief Executive Officer 302-855-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-05-31 |
Last Update Date | 2010-05-31 |