| NPI | 1710161823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE A. BOYKIN Collection/Credential Manager 609-278-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 22310) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2010-06-03 |