| NPI | 1679148712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CARL APGAR CFO 609-572-6006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-06-15 |