| NPI | 1417967456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK D BEATY Medical Director 201-946-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 24089) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-04-09 |