| NPI | 1295369023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILA CORRAO Program COO Rdinator 201-577-8994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0904X Clinic/Center Public Health, Federal |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |