| NPI | 1053420992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY STILES Specials Project Liaison 973-539-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NJ 31D0116942) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ D06615800) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-11-02 |