| NPI | 1013248137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEARY Program Director 201-309-4663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |