| NPI | 1942969126 |
|---|---|
| Other Name | BUILDING 21 HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MARCO GIORDANO AO 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |