| NPI | 1023357415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE BROWN Administrator 973-839-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00083500) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |