| NPI | 1720539620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUYINKA FADAHUNSI Fiscal Officer 973-733-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |