| NPI | 1679133268 |
|---|---|
| Other Name | BROAD ST. MINISTRY |
| Entity Type | Organization |
| Authorized Contact | DINETTA ARMSTRONG Managing Director 215-985-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-01-07 |