NPI | 1063623056 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYGAY ABBOTT-YOUNG CEO 609-396-2183 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ NJSSA2628-1) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |