| NPI | 1083250542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SCHLEICHER Director Of Regulatory Compliance 732-967-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-01-05 |