NPI | 1619148160 |
---|---|
Other Name | JAMES WHITE MANOR |
Entity Type | Organization |
Authorized Contact | PETER R. VELEZ President/CEO 973-483-1300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 22238) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2008-05-16 |