| NPI | 1891154993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK O'LEARY CEO 732-376-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-01-30 |