| NPI | 1275979460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KLIKIER Credentialing Specialst 973-345-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000143) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-02-27 |