NPI | 1063683258 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA CLARKE President/CEO 973-483-1300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 22382) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2024-01-25 |