| NPI | 1952754483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA WASHINGTON RN Case Manager 302-399-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: DE L1-0035462) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |