| NPI | 1265867287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BERGER C.E.O. 732-363-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2023-09-14 |