| NPI | 1235749995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAEL LANGNER Medical Director 484-432-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-11 |