NPI | 1114669017 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN DISIMONE Operations Director 973-277-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-09-29 |