| NPI | 1891222923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA Y FLAKE CEO 609-567-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-09-01 |