| NPI | 1245741511 |
|---|---|
| Doing Business As | ICCDAA |
| Entity Type | Organization |
| Authorized Contact | PAOLA L CASTANO Executive Director 201-998-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |