| NPI | 1124555909 |
|---|---|
| Doing Business As | PHMC AT INTERIM HOUSE WEST |
| Entity Type | Organization |
| Authorized Contact | DOROTHY PRITCHARD Admin./Credentialing Coordinator 215-985-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |