| NPI | 1093161028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD PETULA SVP Finance And CFO 610-776-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 22460101) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-11 |