| NPI | 1154831345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANN BECK Director 267-252-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NJ 0450202294) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |