| NPI | 1225409675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FIELDS CEO 908-578-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2023-11-28 |