| NPI | 1770796385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN WIENER Director 215-662-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: PA MD021924E) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |