| NPI | 1669791869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DUNCAN Director, Finance 732-413-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 23168) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-12-22 |