| NPI | 1700287539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PAVLIK Registered Dietitian Nutritionist 215-230-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PA DN005411) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |