| NPI | 1508478157 |
|---|---|
| Former Legal Business Name | GPHA - KENSNGTON HEALTH SCIENCES HEALTH SUITE |
| Entity Type | Organization |
| Authorized Contact | CELESTE JOHNS Director Of Reimbursement 215-925-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |