| NPI | 1619568227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURIS RODRIGUEZ-PABON CEO 973-433-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-03-28 |