| NPI | 1902129679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW HARRISON Owner 610-258-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 22041501) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-16 |