| NPI | 1649224254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T GIVENS President 610-779-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-08-12 |