| NPI | 1285017129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WOOD Sole Proprietor 215-802-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA DC006935L) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |