NPI | 1114757739 |
---|---|
Doing Business As | SOBA NEW JERSEY |
Entity Type | Organization |
Authorized Contact | ISAAC GLASMAN Director 973-556-7701 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-08-07 |
Last Update Date | 2024-08-07 |