| NPI | 1518626381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE JOHNS Director 215-925-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |