| NPI | 1881941466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL THOMAS SCULL Owner 215-612-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA 2522) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |