| NPI | 1619993821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA E ELLIS Medical Director 610-692-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA MD035003E) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |