| NPI | 1114636941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO JORGE COTO Executive Director 732-324-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |