NPI | 1710386164 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGET MCGIVERN Chief Executive Officer 610-326-9460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PA 3293340) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2019-02-15 |