| NPI | 1083275804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA HOOGTERP CEO 973-819-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |