| NPI | 1649377003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLE BRADFORD CEO 215-473-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PA 121630) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |