| NPI | 1003530148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEILA CANETE President 215-220-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |