| NPI | 1003275595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA STEINBERG Office Manager 201-986-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000447) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |