| NPI | 1447629951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOSIE KIRKLAND CEO 610-536-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0043490) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |