| NPI | 1730695305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA E CANNADY Chief Operating Officer 856-757-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 24959) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-10-05 |