| NPI | 1457515207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY DENISE LARKINS Executive Director 908-296-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NJ 0400239766) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NJ HP0135400) |
| 261QC1500X Clinic/Center, Community Health (Licence: NJ 0400239766) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2009-11-23 |