| NPI | 1841240561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE RICE Scheduling Credentialing Specialist 732-502-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-07-14 |