| NPI | 1134374143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHABABB President/CEO 201-866-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2013-05-28 |