| NPI | 1023347242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L WURST Director Of Patient Accounts 856-583-2412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 24326) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2014-02-19 |