| NPI | 1023430980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL LAWRENCE BOWN Owner 732-882-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |