| NPI | 1508847880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH STOLZ President 610-433-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS000711L) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2009-01-26 |