| NPI | 1326109836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO VALDES Executive Director 215-496-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 121850) |
| Additional Taxonomies | 251S00000X (Licence: PA 139510) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-03-18 |