| NPI | 1710036041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN HAUSE Chief Executive Officer 215-426-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: PA 111101) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-05-01 |