| NPI | 1063141794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER HAQ Owner 215-941-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |