| NPI | 1871682138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SANCHEZ Clinical Director/Vice President 610-865-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 212390) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-09-18 |