| NPI | 1770877581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRADY DUDEN Acting CEO 610-988-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2012-06-28 |