| NPI | 1063901205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONAN GANNON CEO 610-444-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-05-23 |