| NPI | 1225270499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUCAS Executive Director 610-485-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |