| NPI | 1871944579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E LYONS C Fo 215-372-0180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: FL AL12835) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2022-01-27 |