| NPI | 1750336053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ANTHONY SHROM CEO 215-896-0422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: N/A) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-05-03 |