| NPI | 1295592483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E STONE General Manager 732-244-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |