NPI | 1053813600 |
---|---|
Entity Type | Organization |
Authorized Contact | KUMAR CIDAMBI Partner/Owner 732-560-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000674) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-02-28 |