| NPI | 1255726659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M POST Executive Director 215-302-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |