| NPI | 1124269261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CLARK Contact Person 215-707-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: PA mt049178t) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |