NPI 1003181553

City of Newark Dept of Child and Family Well Being Mobile Medical van

Organisation Federally Qualified Health Center (FQHC) Newark, NJ

Practice location

Address: 110 William St, Newark, NJ 07102-1304
Phone: (973) 733-7558

Authorised official

Name: L'Tanya Williams
Title: Director
Phone: (973) 733-7558

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1003181553
Entity type: Organization
NPI issued: 16 Mar 2012
Record last updated: 16 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.