| NPI | 1053607614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KLIKIER Credentialist Specialist 973-345-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-05-07 |