| NPI | 1447746862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCAS J HAGERTY Director Of Operations 856-541-6092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |