| NPI | 1003935610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALYNDA MAYNARD Chief Operations Officer 973-704-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-01-29 |