| NPI | 1841429529 |
|---|---|
| Other Name | VIDA NUEVA AT CASA GUADALUPE |
| Entity Type | Organization |
| Authorized Contact | PAULA P HADDAD Billing 610-820-7605 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA MD062907L) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-07-07 |