| NPI | 1760663439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN GABRIS Cheif Financial Officer 610-941-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 218210) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2008-07-24 |