Title
Dept/ Agency: Department of Child and Family Well-Being
Ratifying ( ) Authorizing (X) Amending ( )
Type of Service: Business Associate Agreement
Purpose: To share private health information in the Diabetes and Asthma Collaboratives
Entity Name(s): New Jersey Primary Care Association
Address: 14 Washington Road, Bldg. 2, Princeton Junction, New Jersey 08550
Dollar Amount: N/A
Contract Period: January 1, 2007 to December 31, 2007
Contract Basis: Business Associate Agreement
Additional Comments: N/A