| NPI | 1104152164 |
|---|---|
| Other Name | COFFEE |
| Entity Type | Organization |
| Authorized Contact | JERRY HAWTHONRE Executive Director 215-224-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |