| NPI | 1750821369 |
|---|---|
| Doing Business As | NHCLV AT TWO RIVERS H&W |
| Entity Type | Organization |
| Authorized Contact | MELISSA MIRANDA Executive Director 610-820-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 122300000X Dentist | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2022-07-07 |