| NPI | 1588923643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F RICKARDS Registered Dietitian 215-431-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PA dn004512) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |