CITY OF PHILADELPHIA

NPI # 

Practice Address:

1900 N 20Th St , Health Care Center 5

Philadelphia, PA, 19121-2217

Practice Phone:

215-685-2973

Practice Fax:

215-685-6848

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X