Provider First Line Business Practice Location Address:
501 W BROAD ST
Provider Second Line Business Practice Location Address:
CHILDREN'S DEVELOPMENTAL PROGRAM
Provider Business Practice Location Address City Name:
QUAKERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18951-1215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-536-8359
Provider Business Practice Location Address Fax Number:
215-536-9699
Provider Enumeration Date:
01/26/2009