| NPI | 1902167463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER F IRIZARRY President/CEO 201-866-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-06-06 |