| NPI | 1740345693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CLARKE President And CEO 873-483-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 70777) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-09-19 |