Organization
CITY OF NEWARK DEPT OF CHILD AND FAMILY WELL BEING MOBILE MEDICAL VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L'TANYA WILLIAMS (DIRECTOR)
(973) 733-7558
Entity
Organization
Contact information
Practice address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-7558
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-7558
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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