| NPI | 1053887927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN CINTRON Chief Executive Officer 201-209-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-01-31 |