| NPI | 1114757739 |
|---|---|
| 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 |