| NPI | 1225650930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS FAITH Owner 610-890-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |