| NPI | 1215446232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WOLFE Executive Director 609-394-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |