| NPI | 1083748297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRIEDMAN C.E.O. 732-364-2144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NJ 24191) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: NJ 24191) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-04-25 |