Organization · Type 2 NPI

Roots: Strong Support. Stronger Futures.

Clinic/Center · Wilmington, DE

NPI number 1780507418 Active

Practice location

18 Pheasant Run Dr
Wilmington, DE 19810-3322

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1780507418

Roots: Strong Support. Stronger Futures.'s National Provider Identifier is 1780507418, issued on Jul 31, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wilmington, DE. The record was last updated on Jul 31, 2026.