| NPI | 1902848260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI BAKER Codirector 610-821-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 06331500) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |