| NPI | 1538416342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ADAMS Executive Director 732-235-9099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2013-07-02 |