| NPI | 1205644333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRIEDMAN CEO 732-364-2144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-04-15 |