| NPI | 1659535870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY FASANO Operations Manager 610-437-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2025-04-30 |