| NPI | 1235593435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BEBEL CFO 973-328-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 24780) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-12-15 |