| NPI | 1154920635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE AGBOH C RN P 201-450-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |