NPI | 1548626005 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN M QUIGLEY President/CEO 201-583-6822 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2016-10-20 |