| NPI | 1225207780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WURST Director Of Patient Accounts 856-583-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NJ 70471) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2015-02-27 |