NPI | 1124795901 |
---|---|
Doing Business As | FOUR DIRECTIONS WELLNESS |
Entity Type | Organization |
Authorized Contact | KARL D ROMAN Executive Director 973-858-8163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-27 |
Last Update Date | 2023-01-09 |