| NPI | 1881990547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH EHRLICH Chief Financial Officer 484-337-2029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 120401) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-09-12 |