NPI | 1275230112 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN TANIS Executive Director Of Contract Mgmt 856-533-8762 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-02-10 |
Last Update Date | 2024-01-12 |