| NPI | 1003181553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L'TANYA WILLIAMS Director 973-733-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |