| NPI | 1306285176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK KILLIAN Director Operations 215-985-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-12-11 |