| NPI | 1306090741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER F IRIZARRY President/CEO 201-866-2388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |