| NPI | 1063715332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C EDWARDS CEO/President 856-451-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: NJ 23304) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2022-03-23 |