NPI | 1275151607 |
---|---|
Other Name | GPHA - CRISTO REY HEALTH SUITE |
Entity Type | Organization |
Authorized Contact | CELESTE JOHNS Director 215-925-2400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |