| NPI | 1326205659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FAISTL Medical Program Director 732-294-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |