| NPI | 1265088892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER KEMPSON CEO 973-943-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |