| NPI | 1619916574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ADAMS Interim Executive Director 732-235-6756 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NJ 24001) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-07-02 |