| NPI | 1235256439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIJA OVSJANIKOVSKA Medical Director 973-523-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 10cc0057900) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-10-03 |