| NPI | 1205278884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE DEL GAISO Administrative Assistant 609-645-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000551) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |