NPI | 1609657659 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE MARIE FIELDS CEO 908-578-7273 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-06 |
Last Update Date | 2024-10-24 |