| NPI | 1215282405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HADLEY Program Director 610-447-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: PA OT014369) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |