| NPI | 1134636582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MAGGIORE Authorized Official 856-452-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |