| NPI | 1881870665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L WAHL President 610-334-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: DE F1-0000678) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |