| NPI | 1619732310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL BECHARA Director Of Provider Networking 610-800-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-03-08 |