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 |