| NPI | 1073864971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY FABIAN Executive Director 215-710-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PA SP1842011) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |