| NPI | 1205040169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY HARGROVE President 973-242-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 23255) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 100100105) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-08-04 |