| NPI | 1407617947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CARL APGAR Director Of Finance 609-572-6006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |