| NPI | 1205215449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SILLETTI Vice President 732-982-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |