| NPI | 1104647635 |
|---|---|
| Doing Business As | NEWARK DEPT OF HEALTH AND COMMUNITY WELLNESS DENTAL MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | KETLEN ALSBROOK CEO & Director 973-733-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |