| NPI | 1144782822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE SOSELY Ar Manager 862-260-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |