| NPI | 1861490583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA L LINGHAM Executive Director 215-227-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-05-31 |