| NPI | 1306514138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK KILLIAN Dir Finance And Regulatory Affairs 215-985-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |