| NPI | 1144114547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DISIMONE Operations Director 973-277-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |