| NPI | 1487935805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBRO JAMES CIARMATORI Practice Administrator 215-769-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261Q00000X |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2022-11-30 |