NPI | 1184328700 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI GABERT Clinical Program Director 856-320-9373 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-03-28 |
Last Update Date | 2023-07-14 |