| NPI | 1043204811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M RHODES CEO 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2025-01-11 |