| NPI | 1083372536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISE TRICOCHE CEO 856-388-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |