| NPI | 1073399069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE GOMES Executive Assistant 201-306-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |