| NPI | 1699470807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MIRANDA CEO 610-820-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |