| NPI | 1982846879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN DUBLIN CEO 201-478-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |