| NPI | 1356795694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY KUHNS Medical Director 610-935-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD032147E) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |