| NPI | 1245863281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OERMILA CORRAO Program Director 201-577-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| 302R00000X Health Maintenance Organization | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |