| NPI | 1265200190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CARL APGAR Director Of Finance 609-572-6006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-01-30 |