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 |