| NPI | 1144118431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WIDOTA COO 609-480-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |