| NPI | 1508086620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA T ROSKO Executive Director, Slpho 610-954-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: PA 451201) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |