| NPI | 1972987253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX OKUNEV President 302-660-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: DE 2015060995638) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-01-15 |