NPI | 1164774998 |
---|---|
Former Legal Business Name | JERSEY SHORE ADDICTION SERVICES |
Entity Type | Organization |
Authorized Contact | EDWARD J. HIGGINS Executive Director 732-988-8877 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 2000316) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-10-03 |
Last Update Date | 2023-09-21 |