NPI | 1740345693 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA CLARKE President & CEO 973-483-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NJ 70777) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2025-01-29 |