NPI | 1811202153 |
---|---|
Doing Business As | FAIRMOUNT PRIMARY CARE HEALTH CENTER AT HORIZON HOUSE |
Entity Type | Organization |
Authorized Contact | ALVAN SCOTT MCNEAL President/CEO 215-684-5344 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2021-09-24 |