| NPI | 1174362420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETLEN ALSBROOK Director & CEO 973-733-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |