| NPI | 1164954285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIEZER VIEIRA DE FRANCA Clinical Director 732-442-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 200524) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |