| NPI | 1104352426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KLIKIER Credentialing Specialst 973-345-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2024-01-16 |