| NPI | 1720072366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB FISHMAN Chief Executive Officier 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2008-04-23 |