| NPI | 1417938044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BERGER CEO 732-363-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 23453) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2019-03-29 |