| NPI | 1275644809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS CEO 609-278-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 71170) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-03 |