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 | 2024-10-01 |