| NPI | 1508226812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W GODDARD Therapist 215-964-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA PC002473) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |