| NPI | 1114694007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL D ROMAN President 973-800-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |