| NPI | 1073558391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DUNCAN Director, Finance 732-413-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 23104) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-01-05 |