NPI | 1811109572 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ROBERTS CEO 732-376-6601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 23973) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2009-10-20 |