| NPI | 1174663116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIACH FOX Administrator 856-358-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000005) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-02-06 |