| NPI | 1265606388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL F SCHULZ Business Director/Owner 908-372-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NJ 2000191) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 10161-01-05) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 2000191) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000191) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-04-27 |