| NPI | 1699297911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KROCULICK CARTER President 610-363-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA DC005850L) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |