| NPI | 1497875314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE D. HORNER Executive Director 610-437-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 391144) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-12-14 |