| NPI | 1750329603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DAVIS Executive Director 610-485-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-04-07 |