| NPI | 1174943906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE NOLAN CEO 732-442-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2014-04-19 |