| NPI | 1124430822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BORELLI Business Manager 908-253-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2017-09-15 |