NPI | 1376809004 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY STILES Special Projects Liaison 973-539-9580 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NJ 25MA06189900) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ BH5459462) |
Enumeration Date | 2012-04-06 |
Last Update Date | 2023-03-01 |