| NPI | 1013052158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CAPUTO Executive Director 732-727-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 10CC00062000) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |