| NPI | 1790974996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DUNCAN Director, Finance 732-413-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 23166) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2011-03-11 |