| NPI | 1003479007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI KUMAR Director Of Billing 732-210-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-17 |