| NPI | 1134489537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARBATTIE HARRIS Finance Manager 609-815-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000107) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |